Individual
MR. LUCAS JAY WACHEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1101 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-4503
(715) 471-0954
(844) 829-7001
Mailing address
1101 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-4503
(715) 471-0954
(844) 829-7001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10424-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568637593
—
WI
Enumeration date
04/30/2008
Last updated
07/21/2022
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