| Doctor Name: | DR. LUCAS G DUEFFERT |
| NPI Number: | 1073929543 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T |
| License Number: | |
| Business Practice Address: | 250 Central Ave N Suite Ll 10 Wayzata, MN - 553911206 |
| Business Phone Number: | 9529938238 |
| Business Fax Number: | |
| Mailing Address: | 450 Ford Rd, #230 ST LOUIS PARK |
| State: | MN |
| Postal Code: | 554261058 |
| Phone Number: | 5075810076 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2014 |
| NPI Last Update Date: | 07/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |