Individual
LUCAS CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6307 CENTER ST STE 105, OMAHA, NE 68106-3459
(402) 884-7453
(402) 884-5983
Mailing address
PO BOX 34669, OMAHA, NE 68134-0669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4419
NE
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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