BRIAN LUCAS

CLARKSBURG, WV
NPI1457037640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Enumeration Date2023-06-23
Last Update Date2023-06-23
Business Address
BRIAN LUCAS
445 W MAIN ST
CLARKSBURG, WV 26301-2843
Phone number: 304-842-0200
Mailing Address
BRIAN LUCAS
PO BOX 168
GYPSY, WV 26361-0168
Phone number: 304-672-0601