MISS Thea Lucas

NPI #1225405616 in West Mifflin, Pennsylvania

Provider Information

NPI Number: 1225405616
Entity Type: Individual
Name: MISS Thea Lucas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 1, 2015
Last Updated: Sep 1, 2015

Practice Location

Address: 5218 CLEVELAND AVE
City: West Mifflin
State: Pennsylvania
ZIP Code: 15122-1372
Phone: (412) 901-3293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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