Individual
LUCAS ALEXANDER BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10189 N 4800 W, HIGHLAND, UT 84003-8828
(801) 610-8810
Mailing address
642 E 60 S, AMERICAN FORK, UT 84003-2862
(208) 529-3096
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
12/10/2025
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