Individual
ANTONIO MARCELLUS LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1323 C ST SE, WASHINGTON, DC 20003-2354
(800) 465-3203
Mailing address
22117 CLARKSBURG RD, CLARKSBURG, MD 20871-9523
(800) 465-3203
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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