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1891147401
LUCAS R EBERT
WAUKESHA, WI
NPI
1891147401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3784)
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
-- LUCAS R EBERT PA-C
717 W MORELAND BLVD
WAUKESHA, WI 53188-2432
Phone number: 262-542-9100
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Mailing Address
-- LUCAS R EBERT PA-C
717 W MORELAND BLVD
WAUKESHA, WI 53188-2432
Phone number: 262-542-9100
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