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Individual
LUCAS BAUER
Active
Individual
LUCAS BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02603
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289156
PTAN
KS
05
—
220157622
—
MO
05
—
30005308180001
—
KS
Enumeration date
02/05/2016
Last updated
02/27/2026
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