Individual
LUCAS BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1004 PROGRESS DR STE 180&145, LANSING, KS 66043-6326
(913) 297-3215
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02603
KS
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016289156
PTAN
KS
05
—
220157622
—
MO
05
—
30005308180001
—
KS
Enumeration date
02/05/2016
Last updated
02/27/2026
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