Individual
LUKAS MAXWELL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35114 MOUNTAIN VIEW ST, YUCAIPA, CA 92399-4725
(909) 708-7556
Mailing address
35114 MOUNTAIN VIEW ST, YUCAIPA, CA 92399-4725
(909) 708-7556
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
5251-2674-5073
CA
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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