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General NPI Number Information
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NPI Number | 1942668868
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Entity Type | Individual
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Provider Name | LUCAS BAUER PA
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Gender | Male
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 1004 PROGRESS DR STE 180&145
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City | LANSING
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State | KS
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Zip | 66043-6326
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Country | US
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Telephone | 913-297-3215
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Fax |
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Provider Business Mailing Address
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Address Line | 800 RAVENHILL DR
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City | ATCHISON
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State | KS
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Zip | 66002-9204
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Country | US
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Telephone | 913-367-2131
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 15-02603
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License Number State | KS
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