Individual
LISA LUCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4189 HAMPSHIRE PL, COLORADO SPRINGS, CO 80906-4805
(719) 576-1692
Mailing address
4189 HAMPSHIRE PL, COLORADO SPRINGS, CO 80906-4805
(719) 576-1692
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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