Individual
SCOTT L LUCAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
132 N LAFAYETTE AVENUE, MOUNDSVILLE, WV 26041-1029
(304) 845-9550
(304) 845-9540
Mailing address
132 N LAFAYETTE AVENUE, MOUNDSVILLE, WV 26041-1029
(304) 845-9550
(304) 845-9540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2463
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001875
—
WV
Enumeration date
05/17/2006
Last updated
07/08/2007
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