Individual
TRAVIS CHARLES LUCIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3965 ROEBLING LN, VIRGINIA BEACH, VA 23452-1865
(571) 336-6113
Mailing address
3965 ROEBLING LN, VIRGINIA BEACH, VA 23452-1865
(907) 232-6876
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019010869
VA
Other
Enumeration date
10/10/2016
Last updated
10/16/2020
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