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Individual
WENDY T LUCAS
Active
Individual
WENDY T LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305002856
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193431
ANTHEM PT LOC 1
VA
01
—
193434
ANTHEM PT LOC 2
VA
01
—
193437
ANTHEM PT LOC 3
VA
01
—
193442
ANTHEM PT LOC 5
VA
01
—
249624
ANTHEM PT LOC 6
VA
Enumeration date
02/07/2007
Last updated
11/17/2016
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