Individual
MR. LUCAS CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CPT
Contact information
Practice address
191 MAIN ST, BANNER ELK, NC 28604-0128
(828) 898-8892
(828) 898-8742
Mailing address
198 BEECH HAVEN RD, P.O. BOX 162, BANNER ELK, NC 28604
(724) 504-8804
(828) 898-8742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2223
NC
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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