Individual
LUCAS BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
3601 CAMBRIDGE ST APT 149, LAS VEGAS, NV 89169-4010
(845) 728-4176
Mailing address
3601 CAMBRIDGE ST APT 149, LAS VEGAS, NV 89169-4010
(845) 728-4176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0506296
NV
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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