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Individual
JOHN LUCAS
Active
Individual
JOHN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129860
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SW129860
NA
PA
Enumeration date
07/12/2013
Last updated
03/10/2015
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