NPI 1154556066

Jennifer Lynn Lucas, COTAL

Practitioner Physical Disabilities Residential Treatment Facility Knoxville, TN

Practice location

Address: 2120 Highland Ave, Knoxville, TN 37916-1112
Phone: (865) 525-4131

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 1734 (TN)

Other Residential Treatment Facility, Physical Disabilities providers in Tennessee →

Registry record

NPI: 1154556066
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2009
Record last updated: 20 May 2009

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.