Most Relevant Information
Provider Data
| NPI Number: | 1003466269 |
| Provider Name: | LUKAS WARD PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 085007287 |
Most Important Dates
| Enumeration Date: | 09/18/2019 |
| Last Updated: | 10/11/2023 |
Provider Practice Location
405 W JACKSON ST
CARBONDALE
IL
629011462
Practice Location Phone/Fax
| Phone: | 6185490721 |
| Fax: | 6185290479 |
Provider Mailing Location
PO BOX 3988
CARBONDALE
IL
629023988
Provider Mailing Phone/Fax
| Phone: | 6184575200 |
| Fax: |