Lukas Maxwell Wilson

NPI #1790663110 in Yucaipa, California

Provider Information

NPI Number: 1790663110
Entity Type: Individual
Name: Lukas Maxwell Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medical Technician, Intermediate
Enumeration Date: Aug 25, 2025
Last Updated: Aug 25, 2025

Practice Location

Address: 35114 MOUNTAIN VIEW ST
City: Yucaipa
State: California
ZIP Code: 92399-4725
Phone: (909) 708-7556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Intermediate	146M00000X	Primary

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