Doctor Name: | LUCAS BROWN |
NPI Number: | 1922403328 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 2305207434 |
Business Practice Address: | 1111 Corporate Park Drive Suite B Forest, VA - 24551 |
Business Phone Number: | 4345254851 |
Business Fax Number: | |
Mailing Address: | 20347 Timberlake Road Suite B, LYNCHBURG |
State: | VA |
Postal Code: | 24502 |
Phone Number: | 4348459053 |
Fax Number: | 4345282788 |
NPI Enumeration Date: | 10/28/2014 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305207434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |