Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCAS DUTIL
Active Sole ProprietorLUCAS DUTIL is a Athletic Trainer healthcare provider located in GLADYS, Virginia. NPI 1164940748 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GLADYS, VA
Registration Details
- NPI Number
- 1164940748
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2017 (8.9125761892001 yrs)
- Last Updated
- Sep 5, 2017
- License
-
0126002777 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
474 WILLIAM CAMPBELL DRGLADYS, VA, 245543204Browse VA providers · Browse ZIP 24554
- Phone
- 4348415619
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.