LUCAS LANG

FITCHBURG, WI
NPI1447628433
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2395-19)
Enumeration Date2015-09-08
Last Update Date2024-12-12
Business Address
LUCAS LANG
2995 SUB ZERO PKWY
FITCHBURG, WI 53719-8801
Phone number: 608-819-6394
Mailing Address
LUCAS LANG
5021 CAMILLA RD
MADISON, WI 53716-2307
Phone number: 608-520-9083