LUCAS BROADHURST

SACRAMENTO, CA
NPI1588950653
Other NameLUKE BROADHURST
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
225000000X Orthotic Fitter
Enumeration Date2011-06-27
Last Update Date2012-01-10
Business Address
-- LUCAS BROADHURST CPO
3001 L ST
SACRAMENTO, CA 95816-5225
Phone number: 916-706-1520
Mailing Address
-- LUCAS BROADHURST CPO
1700 N CHRISMAN RD
TRACY, CA 95304-9314
Phone number: 800-726-9180