Individual
JEFFREY ROBERT LUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 CAROLINA CLUB DR, GRANDY, NC 27939-9643
(252) 453-0219
Mailing address
202 CAROLINA CLUB DRIVE, GRANDY, NC 27939
(252) 453-0219
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4447
NC
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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