Individual
JAN-LUKAS HAEUPTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3435 N COLLEGE DR STE A, CHEYENNE, WY 82001-2088
(307) 456-1919
Mailing address
6058 SOUTHERN HILLS DR, WINDSOR, CO 80550-8068
(307) 456-1919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PT1468
WY
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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