Individual
ANDREW THOMAS LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9808 VENICE BLVD STE 505, CULVER CITY, CA 90232-6818
(310) 945-3350
Mailing address
9808 VENICE BLVD STE 505, CULVER CITY, CA 90232-6818
(310) 945-3350
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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