Individual
REBECCA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1107 W BROADWAY ST, ARDMORE, OK 73401-2833
(580) 226-5566
(580) 226-5567
Mailing address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 226-5566
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF247
OK
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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