Individual
THOMAS ROBERT LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5187 US ROUTE 60 STE 13, HUNTINGTON, WV 25705-2076
(304) 733-5010
Mailing address
101 PENNSYLVANIA AVE N, SAINT ALBANS, WV 25177-1710
(304) 654-8734
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
35128
WV
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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