Individual
DANIELLE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4148 E 187TH ST, CLEVELAND, OH 44122-6954
(216) 331-8200
Mailing address
4148 E 187TH ST, CLEVELAND, OH 44122-6954
(216) 331-8200
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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