Search › Minnesota › 103TB0200X
Lucas Wanga, PH.D
NPI 1881015253 · on the registry since 2014 · sole proprietor
Practice
- Address
- 715 Edgerton Street
Merrick Community Services
St. Paul, MN 55130 - Phone
- (612) 360-1966
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Also registered as
- 103TC2200X
103TM1800X
103TS0200X - Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota