Individual
MR. LUCAS PAUL FABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
584 HILL STREET, RAYLAND, OH 43948-0370
(740) 733-6164
Mailing address
PO BOX 370, SMITHFIELD, OH 43948-0370
(740) 733-6164
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
2791475
OH
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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