Tracy R Lucas

NPI #1912279522 in Broomfield, Colorado

Provider Information

NPI Number: 1912279522
Entity Type: Individual
Name: Tracy R Lucas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jan 30, 2012
Last Updated: Jan 30, 2012

Practice Location

Address: 290 NICKEL ST
Address 2: STE. 200
City: Broomfield
State: Colorado
ZIP Code: 80020-2183
Phone: (303) 460-9151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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