Individual
MRS. ANNA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
119 OFFICE PARK DR, ORANGEBURG, SC 29118-2407
(803) 536-5509
(803) 536-4104
Mailing address
319 DUSENBURG ST, SPRINGFIELD, SC 29146-9465
(803) 536-5509
(803) 536-4104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1663
SC
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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