Individual
MR. KEVIN D. LAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 E MAIN ST, BLOOMFIELD, NE 68718-4408
(402) 373-4341
(402) 373-4344
Mailing address
PO BOX 357, BLOOMFIELD, NE 68718-0357
(402) 373-4341
(402) 373-4344
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1040
NE
Other
Enumeration date
05/05/2006
Last updated
12/31/2007
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