Provider Demographics
NPI:1003402645
Name:LUCAS, SONIA ANN (DPT)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:ANN
Last Name:LUCAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8204 WILLIAMSON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-7979
Mailing Address - Country:US
Mailing Address - Phone:512-675-3266
Mailing Address - Fax:
Practice Address - Street 1:8204 WILLIAMSON CREEK DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78736-7979
Practice Address - Country:US
Practice Address - Phone:512-675-3266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist