NPI 1659579282

Gregory T Lucas, ATC

Practitioner Athletic Trainer Sturgeon Bay, WI

Practice location

Address: 323 S 18th Ave, Sturgeon Bay, WI 54235-1401
Phone: (920) 746-0410
Mailing address: 2722 County Rd N, Brussels, WI 54204-9775

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 89-039 (WI)

Other Specialist/Technologist providers in Wisconsin →

Registry record

NPI: 1659579282
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2007
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.