Ryan Lucas

NPI #1669021077 in Willoughby, Ohio

Provider Information

NPI Number: 1669021077
Entity Type: Individual
Name: Ryan Lucas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Sep 9, 2019
Last Updated: Sep 9, 2019

Practice Location

Address: 38882 MENTOR AVE
City: Willoughby
State: Ohio
ZIP Code: 44094-7875
Phone: (440) 578-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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