Individual
LESLIE LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 TROUP HWY, SUITE 800, TYLER, TX 75703-2356
(903) 939-2800
Mailing address
830 CHERRY CREEK RD, CANTON, TX 75103-5016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109363
TX
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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