Lucas, Gregory T

Lucas, Gregory T is an individual health care provider with primary practice located at 323 S 18Th Ave , Sturgeon Bay WI 54235-1401. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Lucas, Gregory T can be contacted via phone (920) 746-0410.

Contact Information

Primary practice address
323 S 18Th Ave Sturgeon Bay WI 54235-1401
Phone: (920) 746-0410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 89-039 Wisconsin

Profile Details

NPI number 1659579282
LBN Legal business name Lucas, Gregory T
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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