Individual
ELIZABETH JANE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
587 SE ERMINE AVE, LAKE CITY, FL 32025-6126
(386) 438-2776
Mailing address
587 SE ERMINE AVE, LAKE CITY, FL 32025-6126
(386) 438-2776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22116
FL
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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