Individual
TRACY R LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 NICKEL ST, STE. 200, BROOMFIELD, CO 80020-2183
(303) 460-9151
(303) 460-7443
Mailing address
290 NICKLE ST, STE. 200, BROOMFIELD, CO 80020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11052
CO
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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