Individual
MR. LUCAS J BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
308 MEADOW GREEN LN, ROUND LAKE BEACH, IL 60073-1325
(309) 643-9396
Mailing address
308 MEADOW GREEN LN, ROUND LAKE BEACH, IL 60073-1325
(309) 643-9396
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022056
IL
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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