Individual
CAROLYN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12551 OLD GLENN HWY STE E, EAGLE RIVER, AK 99577-7590
(907) 694-5515
(907) 694-5575
Mailing address
12551 OLD GLENN HWY STE E, EAGLE RIVER, AK 99577-7590
(907) 694-5515
(907) 694-5575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT027712
PA
Other
Enumeration date
07/11/2019
Last updated
02/14/2023
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