Individual
MR. LUCAS J COLLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2027 DODGE ST, OMAHA, NE 68102-1240
(402) 884-8775
(402) 884-8632
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2628
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01052505
RR MEDICARE
NE
Enumeration date
01/30/2008
Last updated
06/25/2016
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