Individual
DR. LUCAS BENJAMIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(563) 581-1717
Mailing address
1400 EASTSIDE RD, PLATTEVILLE, WI 53818-9800
(563) 581-1717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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