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1043050198
LUCAS MARTIN
MADISON, WI
NPI
1043050198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: WI 560)
Enumeration Date
2024-05-28
Last Update Date
2024-07-30
Business Address
LUCAS MARTIN CAA
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-6400
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Mailing Address
LUCAS MARTIN CAA
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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