Individual
MARSHAWN WILLIAM LUCAS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4296
(714) 953-9373
Mailing address
1783 W CANDLEWOOD AVE, RIALTO, CA 92377-3718
(909) 705-9411
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
43102
CA
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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