LUCAS ERIC JORGENSON


Address: 1540 E Hospital Dr, Ann Arbor, MI 48109
Phone: 7349364000

LUCAS ERIC JORGENSON (NPI# 1407381676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407381676
Entity Type Individual
Full Name LUCAS ERIC JORGENSON
Credential PHARMD
Practice Address 1540 E Hospital Dr
Ann Arbor
MI 48109
Mailing Address 1540 E Hospital Dr
Ann Arbor
MI 48109-4000
Practice Telephone 7349364000
Mailing Telephone 7349364000
Enumeration Date 2017-04-26
Last Update Date 2018-11-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P0200X Pharmacist
Specialization: Pediatrics
5302047169 MI Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1836 South Ave, La Crosse, WI 54601 6087827300

Office Location

Street Address 1540 E HOSPITAL DR
City ANN ARBOR
State MI
Zip Code 48109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669615506 Gretchen Elizabeth Stepanovich Pediatrics 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2009-04-08
1629690227 Kelly Sweeney Nurse Practitioner 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2020-05-18
1659992402 Ashley Cochran Registered Nurse 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2020-05-04
1598319204 Julianne Elizabeth Stieber Nurse Practitioner 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2019-07-31
1457826018 Natalie Rose Wombacher Speech-Language Pathologist 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2018-10-10
1003316753 Michelle Lynne Brisse Occupational Therapist 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2018-02-20
1376995985 Olivia Frosch Pediatrics 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2016-07-07
1386094548 Brooke Blazius Pediatrics 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2016-06-20
1154776664 Sarah Elizabeth Blonsky Student in an Organized Health Care Education/Training Program 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2016-05-03
1205299260 Ryan Birdsall Student in an Organized Health Care Education/Training Program 1540 E Hospital Dr, Ann Arbor, MI 48109-4000 2016-03-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558987024 Albert Byun Student in an Organized Health Care Education/Training Program 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 2020-06-22
1851914931 Nadine Ibrahim Student in an Organized Health Care Education/Training Program 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 2020-05-22
1568083350 Tucker Zimmer Student in an Organized Health Care Education/Training Program 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 2020-05-03
1144841099 Jessica Moore Meves Student in an Organized Health Care Education/Training Program 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 2020-05-01
1710522297 Xiaoyuan Hu Specialist/Technologist Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 2019-11-08
1376192401 Regina Kay Freeman Clinical Nurse Specialist 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 2019-09-11
1477114155 William Philip Saunders IIi Student in an Organized Health Care Education/Training Program 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 2019-06-24
1093290447 Teresa H Lyden Speech-Language Pathologist 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 2018-10-02
1649755091 Anna Grace Hardenbergh Speech-Language Pathologist 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 2018-10-02
1548754609 Amy Wu Pediatrics 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 2018-06-21
Find all providers in zip 48109

Taxonomy Information

Taxonomy Code 1835P0200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pediatrics

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new]

Competitor

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City ANN ARBOR
Zip Code 48109

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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