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Individual
LUCAS HENGER
Active
Individual
LUCAS HENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01296
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001990684
BLUE CROSS BLUE SHIELD
WV
01
—
1072410
WV DWC
WV
Enumeration date
10/09/2007
Last updated
05/08/2008
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