Individual
MICHAEL LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2400 13TH ST, ASHLAND, KY 41102-4510
(606) 320-0241
Mailing address
2400 13TH ST, ASHLAND, KY 41102-4510
(606) 320-0241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004270
KY
225100000X
Physical Therapist
05007849A
IN
225100000X
Physical Therapist
6201
TN
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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