Lucas Clair Dolan

NPI #1134691835 in Longview, Washington

Provider Information

NPI Number: 1134691835
Entity Type: Individual
Name: Lucas Clair Dolan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 19, 2018
Last Updated: Dec 27, 2018

Practice Location

Address: 917 7TH AVE
City: Longview
State: Washington
ZIP Code: 98632-2601
Phone: (360) 425-5910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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