Individual
MRS. JENNIFER LYNN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A/L
Contact information
Practice address
2120 HIGHLAND AVE, KNOXVILLE, TN 37916-1112
(865) 525-4131
Mailing address
2120 HIGHLAND AVE, KNOXVILLE, TN 37916-1112
(865) 525-4131
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
1734
TN
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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