Individual
GEORGE DANIEL LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9033 WASHINGTON BLVD, PICO RIVERA, CA 90660-3839
(323) 773-1992
Mailing address
9033 WASHINGTON BLVD, PICO RIVERA, CA 90660-2521
(562) 942-9625
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
07/21/2022
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