LUCAS WIECK

ATLANTA, GA
NPI1790172252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2015-04-22
Last Update Date2015-04-22
Business Address
Mr. LUCAS WIECK
1364 CLIFTON RD
ATLANTA, GA 30332-0001
Phone number: 404-712-5947
Mailing Address
Mr. LUCAS WIECK
1364 CLIFTON RD
ATLANTA, GA 30332-0001
Phone number: 404-712-5947