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Individual

MRS. GINA LYNN LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS/ PC

Contact information

Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 534-1379
(937) 534-1351
Mailing address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 534-1379
(937) 534-1351

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.0007106
OH

Other

Enumeration date
11/01/2012
Last updated
11/01/2012
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