Individual
LUCAS DEWAYNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301
(308) 761-3372
Mailing address
718 EMERSON AVE, ALLIANCE, NE 69301-2839
(515) 402-7528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3906
NE
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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