Kevin D. Lauck, PA-C Valid NPI

Individual provider · Physician Assistant · Bloomfield, NE

NPI

1598713885

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

1040 (NE)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-05

Last updated

2007-12-31