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1821022120
MATTHEW J LUCAS
COEUR D ALENE, ID
NPI
1821022120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1931)
Enumeration Date
2006-07-10
Last Update Date
2009-03-06
Business Address
MATTHEW J LUCAS PT
1917 N LAKEWOOD DR
COEUR D ALENE, ID 83814-2634
Phone number: 208-664-8194
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Mailing Address
MATTHEW J LUCAS PT
1917 N LAKEWOOD DR
COEUR D ALENE, ID 83814-2634
Phone number: 208-664-8194
Copy
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