Lucas Bonilla
NPI #1093542912 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1093542912
- Entity Type
- Individual
- Name
- Lucas Bonilla
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Sep 16, 2024
- Last Updated
- Sep 16, 2024
Practice Location
- Address
- 213 NE 10TH ST
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-4825
- Phone
- (971) 261-2259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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