Candace Lucas

NPI 1548564925 - Massage Therapist - 225700000X

NPI Details
NPI 1548564925
Gender Female
Enumeration Date 12/29/2010
Last Updated 12/29/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
47220 W 10 MILE RD
NOVI MI, 48374-2932, US
Phone (248) 348-8770
Fax
Business Location
47220 W 10 MILE RD
NOVI MI, 48374-2932, US
Phone (248) 348-8770
Fax
Toxanomy
Taxonomy Code 225700000X
License State Michigan
License Number 2011-003
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According to our database, Candace Lucas NPI is 1548564925, taxonomy code is 225700000X and license number is 2011-003, license state is located at Michigan. Candace Lucas physically located at 47220 W 10 Mile Rd, Novi MI, 48374-2932. NPI Number Candace Lucas has the Individual type.

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1548564925 NPI number is provided on an as is basis without warranty of any kind. 1548564925 is maintained by the National Plan & Provider Enumeration System. The contents of Candace Lucas are for informational purposes only.