Individual
LUCAS ANKENBRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7373 E LAKEWOOD DR-92, ROANOKE, IN 46783-9236
(260) 446-1759
Mailing address
7373 EAST LAKEWOOD DRIVE-92, ROANOKE, IN 46783
(260) 446-1759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/27/2015
Last updated
05/16/2017
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