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1487927257
LUCAS M. WANGERIN
FORT CARSON, CO
NPI
1487927257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0007051)
Enumeration Date
2012-02-09
Last Update Date
2022-01-26
Business Address
LUCAS M. WANGERIN PA-C
1650 COCHRANE CIR # B7500
FORT CARSON, CO 80913-4604
Phone number: 719-524-7219
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Mailing Address
LUCAS M. WANGERIN PA-C
6382 SAN MATEO DR
COLORADO SPRINGS, CO 80911-4015
Phone number: 785-226-2322
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