Individual
LUCAS PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401-6768
(805) 439-4890
Mailing address
2975 MCMILLAN AVE STE 164, SAN LUIS OBISPO, CA 93401-6768
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
05/12/2025
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