Individual
ALEXIS LILLIE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462-7905
(757) 474-1249
(757) 474-0193
Mailing address
1130 FALLS RIVER AVE, RALEIGH, NC 27614-7772
(919) 803-2912
(919) 803-3027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7381
NC
Other
Enumeration date
07/21/2010
Last updated
12/23/2020
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