Individual
ERWIN JOSEPH CORONACION LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7310 RITCHIE HWY STE 615, GLEN BURNIE, MD 21061-3291
(410) 766-0006
Mailing address
7826 PARKE WEST DR APT 104, GLEN BURNIE, MD 21061-4737
(410) 739-5719
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25344
MD
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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