Individual
SHAYLA R LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 HIGHLAND AVE, MILFORD, MI 48381-1517
(248) 685-1460
Mailing address
722 WOODBINE DR, FENTON, MI 48430-1426
(810) 922-7490
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MI
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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