Individual
MR. VINCENT E LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, MMP
Contact information
Practice address
447 S SHARON AMITY RD, 225, CHARLOTTE, NC 28211-2836
(704) 905-0104
Mailing address
7825 ARBORETUM DR, 201, CHARLOTTE, NC 28270-0323
(704) 905-0104
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8133
NC
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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