Doctor Name: | LUCAS PAUL BACHMANN |
NPI Number: | 1003137449 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 1406- 6th Avenue North St. Cloud Hospital St. Cloud, MN - 563031901 |
Business Phone Number: | 3202512700 |
Business Fax Number: | 3202295109 |
Mailing Address: | 1900 Centracare Cir # 2475, Centracare Health Plaza SAINT CLOUD |
State: | MN |
Postal Code: | 563035000 |
Phone Number: | 3202295199 |
Fax Number: | 3202295109 |
NPI Enumeration Date: | 06/21/2010 |
NPI Last Update Date: | 06/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |