LUCAS DALTON WELTZ

INDIANA, PA
NPI1184142135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2017-08-30
Last Update Date2017-08-30
Business Address
MRS. LUCAS DALTON WELTZ
1090 SOUTH DR
INDIANA, PA 15705-1038
Phone number: 724-357-2100
Mailing Address
MRS. LUCAS DALTON WELTZ
1154 LATROBE CRABTREE RD
LATROBE, PA 15650-5313
Phone number: