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Individual

LUCAS WILLIAM HUGENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
Mailing address
8614 STATE ST, QUINCY, IL 62305-8433

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209030471
IL

Other

Enumeration date
09/06/2024
Last updated
09/13/2024
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