Individual
BRIAN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 W MAIN ST, CLARKSBURG, WV 26301-2843
(304) 842-0200
Mailing address
PO BOX 168, GYPSY, WV 26361-0168
(304) 672-0601
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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