Individual
MRS. SANDI LEE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1701 KIPLING ST STE 105, LAKEWOOD, CO 80215-2848
(720) 335-1118
Mailing address
10405 W WARREN AVE, LAKEWOOD, CO 80227-2092
(303) 948-2944
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1865
CO
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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