Individual
GAYLIN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13024 BEVERLY PARK RD STE 102, MUKILTEO, WA 98275-5857
(425) 353-8797
(425) 353-8765
Mailing address
13024 BEVERLY PARK RD STE 102, MUKILTEO, WA 98275-5857
(425) 353-8797
(425) 353-8765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WA00007245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0163489
L&I NUMBER
WA
Enumeration date
03/26/2007
Last updated
02/06/2020
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