Individual
LUCAS BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
186 SNOW GOOSE RD, LEWISTOWN, MT 59457-7692
(406) 366-4210
Mailing address
186 SNOW GOOSE RD, LEWISTOWN, MT 59457-7692
(406) 366-4210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTP-PT-LIC-24663
MT
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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