Lucas Michal Anderson

NPI #1396121646 in Watauga, Texas

Provider Information

NPI Number: 1396121646
Entity Type: Individual
Name: Lucas Michal Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Aug 9, 2015
Last Updated: Nov 13, 2022

Practice Location

Address: 6317 N PARK DR
City: Watauga
State: Texas
ZIP Code: 76148-1321
Phone: (707) 738-0510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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