Individual
LUCAS LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
5021 CAMILLA RD, MADISON, WI 53716-2307
(608) 520-9083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2395-19
WI
Other
Enumeration date
09/08/2015
Last updated
12/12/2024
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