Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | ME114090 | FL |
NPI | 1194976621 |
---|---|
Provider Name | Dr. Joi S. Lucas |
First Address | Des Moines, IA 50309-1406 |
Second Address | Des Moines, IA 50309-1414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2008 |
Last Update Date | 16/03/2016 |