Individual
ELORA GAMBRYN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 6TH AVE S, BIRMINGHAM, AL 35233-1801
(205) 934-4131
Mailing address
400 BIRCHALL LN APT 205, HOOVER, AL 35226-6423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH11614
AL
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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