Individual
DR. LUCAS EDMUND PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12865 POINTE DEL MAR WAY STE 190, DEL MAR, CA 92014-3860
(844) 316-7979
(866) 813-1235
Mailing address
7525 METROPOLITAN DR STE 1306, SAN DIEGO, CA 92108-4411
(844) 316-7979
(866) 813-1235
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
39584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39584
PT LICENSE
CA
Enumeration date
11/21/2012
Last updated
08/04/2021
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