Individual
BETHANY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2520 LONGVIEW ST STE 211, AUSTIN, TX 78705-4201
(323) 637-4344
Mailing address
2110 BUCKSKIN TRL, TEMPLE, TX 76502-3208
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85692
TX
Other
Enumeration date
07/27/2020
Last updated
01/30/2022
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