Individual
LUCAS PATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
449 BEN HUR RD., APT. 4311, BATON ROUGE, LA 70820
(225) 240-2850
Mailing address
303 N CAROLINA ST, NEW ROADS, LA 70760-3607
(225) 240-2850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XHB724824416
—
LA
Enumeration date
12/03/2018
Last updated
07/01/2020
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