BETHANY LUCAS

AUSTIN, TX
NPI1023627973
Former NameBETHANY PENNOCK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: TX  DT85692)
Enumeration Date2020-07-27
Last Update Date2022-01-30
Business Address
BETHANY LUCAS RD, LD
2520 LONGVIEW ST STE 211
AUSTIN, TX 78705-4201
Phone number: 323-637-4344
Mailing Address
BETHANY LUCAS RD, LD
2110 BUCKSKIN TRL
TEMPLE, TX 76502-3208
Phone number:
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