Individual
N. LUCAS STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 997-9650
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 984-4301
(541) 902-7533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01282
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276263
—
OR
Enumeration date
01/24/2006
Last updated
11/29/2012
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