LUCAS BAKER

MORGANTOWN, WV
NPI1124587076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV  2000028601)
Enumeration Date2019-03-19
Last Update Date2019-03-19
Business Address
LUCAS BAKER
943 MAPLE DR
MORGANTOWN, WV 26505-2812
Phone number: 304-599-2515
Mailing Address
LUCAS BAKER
5466 IRADELL RD
ITHACA, NY 14850-9257
Phone number: 607-387-5893
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