Individual
JOSHUA ROBERT LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EP-C
Contact information
Practice address
709 S LEWIS ST, BELLFLOWER, MO 63333-2118
(314) 497-3062
Mailing address
709 S LEWIS ST, BELLFLOWER, MO 63333-2118
(314) 497-3062
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
1068300
MO
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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