Individual
ALLISON LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7495 COACHMEN LN, DELAWARE, OH 43015-7046
(419) 345-9608
Mailing address
22428 FOSTORIA RD, WOODVILLE, OH 43469-9708
(419) 345-9608
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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