Ryan A Lucas, A.T.C.
NPI #1144218389 in South Portland, Maine
Provider Information
- NPI Number
- 1144218389
- Entity Type
- Individual
- Name
- Ryan A Lucas, A.T.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C.
- Enumeration Date
- Oct 12, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 100 FODEN RD
- Address 2
- SUITE 103 WEST
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-2319
- Phone
- (207) 772-2625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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