Individual
LUCAS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 BAYLOR ST, STE 100, AUSTIN, TX 78703-4104
(312) 221-5258
Mailing address
1101 SHOAL CREEK BLVD APT 5, AUSTIN, TX 78701-2001
(312) 221-5258
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01448
TX
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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