Individual
DR. LUCAS REID BOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
132 4TH AVE NE, VALLEY CITY, ND 58072-3056
(701) 845-8060
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1700
ND
Other
Enumeration date
12/19/2013
Last updated
06/24/2020
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