Lucas Richard Fangmann, DPT, LAT, ATC

NPI #1588193940 in Manchester, Iowa

Provider Information

NPI Number: 1588193940
Entity Type: Individual
Name: Lucas Richard Fangmann, DPT, LAT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, LAT, ATC
Enumeration Date: Jun 8, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 313 QUAKER MILL DR
City: Manchester
State: Iowa
ZIP Code: 52057
Phone: (563) 608-3343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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