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Organization
LUCAS CHIROPRACTIC
Active
Organization
LUCAS CHIROPRACTIC
Active
Parent organization
PDC MANAGEMENT LLC
Other names
Lucas Chiropractic & Rangel Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PDC MANAGEMENT LLC
Authorized official
DR. VERNELL DESHAN LUCAS D.C (CHIROPRACTER)
(562) 424-5875
Entity
Organization
Contact information
Practice address
2530 ATLANTIC AVE STE A, LONG BEACH, CA 90806-2741
(562) 424-5901
(562) 424-5879
Mailing address
2530 ATLANTIC AVE STE A, LONG BEACH, CA 90806-2741
(562) 424-5901
(562) 424-5879
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
28257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083758239
1-INDIVIDUAL
CA
Enumeration date
11/25/2013
Last updated
11/25/2013
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