Individual
MRS. ANDREA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 COLLEGE AVE, WILLIAMSPORT, PA 17701-5778
(570) 321-4271
Mailing address
1 COLLEGE AVE, WILLIAMSPORT, PA 17701-5778
(570) 321-4271
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003032
PA
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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