Individual
ROSALIE MARGARET LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1181 MALL DR STE C, LAS CRUCES, NM 88011-8105
(575) 522-3316
(575) 522-4659
Mailing address
2404 S LOCUST ST STE 5, LAS CRUCES, NM 88001-5789
(575) 521-4188
(575) 521-3668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5568
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2857
NM PT LICENSE
NM
Enumeration date
03/20/2020
Last updated
03/20/2020
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