Timery Lucas

NPI 1982821096 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1982821096
Gender Female
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
952 E BASELINE RD
SUITE A106
MESA AZ, 85204-6627, US
Phone (480) 926-6309
Fax
Business Location
952 E BASELINE RD
SUITE A106
MESA AZ, 85204-6627, US
Phone
Fax
Toxanomy
Taxonomy Code 225XP0200X
License State Arizona
License Number 3867
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According to our database, Timery Lucas NPI is 1982821096, taxonomy code is 225XP0200X and license number is 3867, license state is located at Arizona. Timery Lucas physically located at 952 E Baseline Rd, Mesa AZ, 85204-6627. NPI Number Timery Lucas has the Individual type.

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1982821096 NPI number is provided on an as is basis without warranty of any kind. 1982821096 is maintained by the National Plan & Provider Enumeration System. The contents of Timery Lucas are for informational purposes only.