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Contact Information

JENNIFER A LUCEY, PA-C
1919 LATHROP ST STE 205
FAIRBANKS, AK99701-5942
 Phone: 608-799-4335
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JENNIFER A LUCEY · (Female)

NPI # 1811248073
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/27/2012
Last updated 07/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 160604
  • WI License # 3273-23
  • AK Medicaid 1710794
Hospital affiliation(s)
  • FAIRBANKS MEMORIAL HOSPITAL - (Acute Care)
    1650 COWLES STREET
    FAIRBANKS, AK 99701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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