Individual
MR. HAROLD LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 BARRETT DR, MALDEN, MO 63863-1204
(573) 276-3843
Mailing address
1413 BALLARD ST, KENNETT, MO 63857-1503
(310) 951-2443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011037091
MO
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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