LUCAS FASS

MADISON, WI
NPI1427613793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: WI  81575-20)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WI  81575-20)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-02
Last Update Date2025-06-09
Business Address
LUCAS FASS
600 HIGHLAND AVE
MADISON, WI 53792-1465
Phone number: 608-628-3664
Mailing Address
LUCAS FASS
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: