Individual
LUCAS POLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 MIAMI VALLEY DR, SPORTS MEDICINE CETER, CENTERVILLE, OH 45459-4774
(937) 876-9833
Mailing address
134 MAYNARD DR, APT. A, TIPP CITY, OH 45371-1579
(937) 876-9833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004411
OH
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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