Individual
MR. MARK AUSTIN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
205 CHAUCER LN, MANDEVILLE, LA 70448-7027
(980) 307-0992
Mailing address
1325 SOMERSBY LN, MATTHEWS, NC 28105-1575
(980) 307-0992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13278
NC
Other
Enumeration date
01/02/2013
Last updated
03/13/2023
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