Individual provider · Type 1 NPI

Lucas Grim

Student in an Organized Health Care Education/Training Program · Alliance, OH

NPI number 1083014732 Active

Practice location

1972 Clark Ave, Box #664
Alliance, OH 44601-3929

Mailing address

220 Brewster Rd
New Castle, PA 16102-3004

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083014732

Lucas Grim's National Provider Identifier is 1083014732, issued on Aug 31, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alliance, OH. The record was last updated on Aug 31, 2014.