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Individual

LUCAS PAUL BACHMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1406- 6TH AVENUE NORTH, ST. CLOUD HOSPITAL, ST. CLOUD, MN 56303-1901
(320) 251-2700
(320) 229-5109
Mailing address
1900 CENTRACARE CIR # 2475, CENTRACARE HEALTH PLAZA, SAINT CLOUD, MN 56303-5000
(320) 229-5199
(320) 229-5109

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56257
MN
2084P0804X
Child & Adolescent Psychiatry Physician
56257
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/21/2010
Last updated
06/30/2014
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