Individual
LUCAS C DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
129 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9386
(715) 588-3371
Mailing address
129 OLD ABE RD, LAC DU FLAMBEAU, WI 54538-9386
(715) 588-3371
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1028333
WI
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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