Tim R Lucas

NPI #1326539768 in Afton, Oklahoma

Provider Information

NPI Number: 1326539768
Entity Type: Individual
Name: Tim R Lucas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 22, 2018
Last Updated: May 22, 2018

Practice Location

Address: 138 S MAIN
City: Afton
State: Oklahoma
ZIP Code: 74331
Phone: (918) 257-4244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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