Lucas Brown

NPI 1578944963 · on the registry since 2015 · sole proprietor

Practice

Address: 17404 Meridian E Ste F-117
Puyallup, WA 98375
Phone: (253) 256-3196
Fax: (253) 544-4080
Organisation at this address: Behavior Bridges
Fred Meyer Stores Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington