Individual
ASHLEY MICHELLE LUCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
24242 LARKWOOD LN, LAKE FOREST, CA 92630-5218
(949) 540-8382
Mailing address
24242 LARKWOOD LN, LAKE FOREST, CA 92630-5218
(949) 540-8382
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96222
CA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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