Individual
LUCAS NORDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12750 MCINTYRE RD, LEAVENWORTH, KS 66048-7262
(913) 240-0563
Mailing address
12750 MCINTYRE RD, LEAVENWORTH, KS 66048-7262
(913) 240-0563
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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