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Individual

DR. LUCAS ANDREW BOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
132 SOUTH MAIN STREET, LUCK, WI 54853-0172
(715) 472-2122
(715) 472-4423
Mailing address
132 SOUTH MAIN STREET, PO BOX 172, LUCK, WI 54853-0172
(715) 472-2122

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
119842
MN
183500000X
Pharmacist
Primary
15659-40
WI

Other

Enumeration date
07/23/2009
Last updated
08/20/2010
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