Individual
LUCAS RICHARD FANGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, LAT, ATC
Contact information
Practice address
313 QUAKER MILL DR, MANCHESTER, IA 52057
(563) 608-3343
Mailing address
313 QUAKER MILL DR, MANCHESTER, IA 52057-1052
(563) 608-3343
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
IA
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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