Individual
MR. SCOTT LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
3042 COLLEGE ST, AUSTINBURG, OH 44010-9745
(440) 708-3208
Mailing address
126 GRAND BLVD, BEDFORD, OH 44146-2118
(440) 708-3208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005129
OH
Other
Enumeration date
09/19/2016
Last updated
10/18/2016
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