NPI 1144218389

Ryan a Lucas, ATC

Practitioner Athletic Trainer South Portland, ME

Practice location

Address: 100 Foden Rd Suite 103 West, South Portland, ME 04106-2319
Phone: (207) 772-2625
Mailing address: 69 Euclid Ave, Portland, ME 04103-1200

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT190 (ME)

Other Specialist/Technologist providers in Maine →

Registry record

NPI: 1144218389
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Oct 2005
Record last updated: 8 Jul 2007

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.