Wyatt, Lucas Walker

Wyatt, Lucas Walker is an individual health care provider with primary practice located at 13608 80Th Cir N , Maple Grove MN 55369-8961. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Wyatt, Lucas Walker can be contacted via phone (763) 274-3120.

Contact Information

Primary practice address
13608 80Th Cir N Maple Grove MN 55369-8961
Phone: (763) 274-3120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Minnesota

Profile Details

NPI number 1366198244
LBN Legal business name Wyatt, Lucas Walker
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2022
Last updated Mar 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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