Individual
MS. LISA K. LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 3RD ST NW, CANTON, OH 44702-1712
(330) 453-5472
Mailing address
320 3RD ST NW, CANTON, OH 44702-1712
(330) 453-5472
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
OH
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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