Individual
SHAYLA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
134 W 1180 N STE 5, TOOELE, UT 84074-1483
(435) 248-0333
(435) 248-0334
Mailing address
134 W 1180 N STE 5, TOOELE, UT 84074-1483
(435) 248-0333
(435) 248-0334
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
UT
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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