Individual
MS. ASHLEY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
230 SHAGBARK DR, DERBY, CT 06418-2637
(203) 257-7801
Mailing address
230 SHAGBARK DR, DERBY, CT 06418-2637
(203) 257-7801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
004218
CT
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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