Individual
LUCIUS EDWARD LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
1801 TERMINO AVE APT 1404, LONG BEACH, CA 90815-2687
(562) 357-1851
Mailing address
1801 TERMINO AVE APT 1404, LONG BEACH, CA 90815-2687
(562) 357-1851
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
91772
CA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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