Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackie Lavete Lucas

Individual provider Administrator Registered Nurse · NPI 1427602531

Jackie Lavete Lucas is an Administrator Registered Nurse in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
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Practice location Address checks out

19270 Red Maple Ct
Southfield, MI 48076-1006
Phone: (248) 296-1252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 4704261129 (MI)

Record details

NPI number1427602531
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 26, 2019
Last updated in NPPESJuly 26, 2019

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