RYAN A LUCAS

SOUTH PORTLAND, ME
NPI1144218389
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME  AT190)
Enumeration Date2005-10-12
Last Update Date2007-07-08
Business Address
-- RYAN A LUCAS A.T.C.
100 FODEN RD SUITE 103 WEST
SOUTH PORTLAND, ME 04106-2319
Phone number: 207-772-2625
Mailing Address
-- RYAN A LUCAS A.T.C.
69 EUCLID AVE
PORTLAND, ME 04103-1200
Phone number: 207-831-7540
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