Individual
LUCAS MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
306 W 4TH ST, NORTH PLATTE, NE 69101-3828
(308) 534-4872
Mailing address
306 W 4TH ST, NORTH PLATTE, NE 69101-3828
(308) 534-4872
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
821
NE
Other
Enumeration date
09/27/2011
Last updated
11/07/2012
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