National Provider Identifier

William Marcus Lucas

William Marcus Lucas is listed in the NPPES registry with a primary specialty of Physical Therapist in Tonawanda, NY and a listed phone number of (716) 874-6175.

NPI 1467289496Tonawanda, NYPhysical Therapist

Profile Overview

NPI
1467289496
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 16, 2024
Last Updated
September 16, 2024

Practice Location

  • 3767 Delaware Ave
  • Tonawanda, NY 14217-1040

Phone: (716) 874-6175

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1467289496
Entity Type
Individual
Last Name
Lucas
First Name
William
Middle Name
Marcus
Mailing Street Address
3767 Delaware Ave
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14217-1040
Mailing Country
US
Practice Street Address
3767 Delaware Ave
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
September 16, 2024
Last Updated
September 16, 2024
Sex
Male
Sole Proprietor
No
Certification Date
September 12, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)