NPI 1114563111

Andrea Lucas, ATC

Practitioner Athletic Trainer Williamsport, PA

Practice location

Address: 1 College Ave, Williamsport, PA 17701-5778
Phone: (570) 321-4271

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT003032 (PA)

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Registry record

NPI: 1114563111
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2019
Record last updated: 25 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.