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LANCE FREDRICK LUKASAVITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
(501) 821-6616
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
(501) 327-1738

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501015774
MI
225100000X
Physical Therapist
Primary
PT4438
AR

Other

Enumeration date
01/04/2012
Last updated
03/17/2018
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