| Lucas Clair Dolan, | |
|
917 7th Ave, Longview, WA 98632-2601 | |
| (360) 425-5910 | |
| Not Available |
| Full Name | Lucas Clair Dolan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 917 7th Ave, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134691835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1118 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | PT60919973 (Washington) | Primary |
| Provider Name | St Cloud Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Clair Dolan, 28633 Dayton Ave, Milroy, MN 56263-1167 Ph: (507) 828-3142 | Lucas Clair Dolan, 917 7th Ave, Longview, WA 98632-2601 Ph: (360) 425-5910 |
Lynn Marie Mason Chan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 852 Commerce Ave, Longview, WA 98632 Phone: 360-501-3750 Fax: 360-501-3755 | |
Mr. Paul J Morauske, MS RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1560 3rd Ave, Longview, WA 98632 Phone: 360-423-9535 Fax: 360-414-9284 | |
Regan Hailey Speyer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1560 3rd Ave, Longview, WA 98632 Phone: 360-423-9535 | |
Mr. Darryl T Kent, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1560 3rd Ave, Longview, WA 98632 Phone: 360-423-9535 Fax: 360-414-9285 | |
Binal Motawar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 852 Commerce Ave, Longview, WA 98632 Phone: 360-501-3750 Fax: 360-501-3755 | |
Orrin Preheim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 220, Longview, WA 98632 Phone: 360-578-1188 | |
Jessica Doughty, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2715 Lilac St, Longview, WA 98632 Phone: 360-575-7019 |