Provider Demographics
NPI:1235497702
Name:VEENA LUCAS
Entity Type:Organization
Organization Name:VEENA LUCAS
Other - Org Name:BODY CONTINUUM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VEENA
Authorized Official - Middle Name:SARASWATI
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:916-730-4620
Mailing Address - Street 1:1809 19TH ST
Mailing Address - Street 2:UPSTAIRS
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-6745
Mailing Address - Country:US
Mailing Address - Phone:916-822-0474
Mailing Address - Fax:
Practice Address - Street 1:1809 19TH ST
Practice Address - Street 2:UPSTAIRS
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-6745
Practice Address - Country:US
Practice Address - Phone:916-822-0474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5233225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty