Individual
MR. REGGINOLD PRESCOTT LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 EVEREST CIRCLE, APT 4, BRANSON, MO 65616
(417) 294-6032
Mailing address
220 EVEREST CIRCLE, APT 4, BRANSON, MO 65616
(417) 294-6032
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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