LUCAS RICHARD FANGMANN

MANCHESTER, IA
NPI1588193940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2017-06-08
Last Update Date2022-07-21
Business Address
LUCAS RICHARD FANGMANN DPT, LAT, ATC
313 QUAKER MILL DR
MANCHESTER, IA 52057
Phone number: 563-608-3343
Mailing Address
LUCAS RICHARD FANGMANN DPT, LAT, ATC
313 QUAKER MILL DR
MANCHESTER, IA 52057-1052
Phone number: 563-608-3343