Individual
JOHN LARRY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 MULBERRY ST, ADRIAN, MI 49221-2339
(517) 265-7964
Mailing address
707 MULBERRY ST, ADRIAN, MI 49221-2339
(517) 265-7964
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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