DR. LUCAS G DUEFFERT (NPI# 1073929543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073929543 |
| Entity Type | Individual |
| Full Name | DR. LUCAS G DUEFFERT |
| Credential | P.T |
| Practice Address |
250 Central Ave N Suite Ll 10 Wayzata MN 55391-1206 |
| Mailing Address |
450 Ford Rd #230 St Louis Park MN 55426-1058 |
| Practice Telephone | 9529938238 |
| Mailing Telephone | 5075810076 |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2014-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
250 CENTRAL AVE N SUITE LL 10 |
| City | WAYZATA |
| State | MN |
| Zip Code | 55391-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943117 | Christine Mccarthy | Family Medicine | 250 Central Ave N, Suite 220, Wayzata, MN 55391-1206 | 2005-12-16 |
| 1821538240 | Rebecca Christine Fichtel | Physician Assistant | 250 Central Ave N, Suite #220 & #228, Wayzata, MN 55391-1206 | 2017-03-04 |
| 1427457209 | Matthew David Quanrud | Physical Therapist | 250 Central Ave N, Wayzata, MN 55391-1206 | 2014-08-18 |
| 1962742650 | Taylor J. Stephens, D.d.s, P.a. | Clinic/Center | 250 Central Ave N, Suite 113, Wayzata, MN 55391-1206 | 2013-02-18 |
| 1245562180 | Brian A Gehling | Physical Therapist | 250 Central Ave N, Suite Ll-10, Wayzata, MN 55391-1206 | 2010-02-03 |
| 1710146394 | Taylor Stephens | Dentist | 250 Central Ave N, Suite 113, Wayzata, MN 55391-1206 | 2008-06-09 |
| 1659554517 | Wayzata Dental, Ltd. | Dentist | 250 Central Ave N, Suite 202, Wayzata, MN 55391-1206 | 2007-12-13 |
| 1689867129 | Terry Boksberger | Family Medicine | 250 Central Ave N, Suite 228, Wayzata, MN 55391-1206 | 2007-08-18 |
| 1083814206 | Monica Kennard,d.d.s.,p.a. | Dentist | 250 Central Ave N, Suite 211, Wayzata, MN 55391-1208 | 2007-07-25 |
| 1265650956 | Oral and Maxillofacial Surgical Consultants Pa | Dentist | 250 Central Ave N, Suite126, Wayzata, MN 55391-1206 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1417579178 | Kate Anne Schroeder | Behavioral Analyst | 901 Twelve Oaks Center Drive Suite 934, Wayzata, MN 55391 | 2020-05-15 |
| 1467940478 | Tyler Michael Knutson | Chiropractor | 1421 E Wayzata Blvd, Wayzata, MN 55391 | 2018-04-25 |
| 1427552025 | Emma Nadler, L.L.C. | Counselor | 700 Twelve Oaks Center Dr. #263, Wayzata, MN 55391 | 2018-03-20 |
| 1730687757 | Global Home Care Inc | Home Health | 1001 Twelve Oaks Center Drive, Suite 1018, Wayzata, MN 55391 | 2018-01-24 |
| 1205362472 | Oraphanh Vongpheth Smith | Registered Nurse | 801 Twelve Oaks Center Drive, Suite 822, Wayzata, MN 55391 | 2017-05-10 |
| 1386189272 | Wayzata Endodontics, P.a. | Dentist | 101 Lake Street West, Suite 100, Wayzata, MN 55391 | 2016-12-30 |
| 1952763351 | Watershed Psychological Services | Clinic/Center | 4255 Pheasant Ridge Drive, Suite 412, Blaine, MN 55391 | 2016-03-24 |
| 1477923571 | Robert J. Floren | Marriage & Family Therapist | 801 Twelve Oaks Center Dr Ste 816a, Wayzata, MN 55391 | 2015-10-01 |
| 1194101055 | Bruce Martinson Family & Cosmetic Dentistry | Dentist | 317 E Wayzata Blvd, Wayzata, MN 55391 | 2015-08-03 |
| Find all providers in zip 55391 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
| 1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
| 1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
| 1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
| 1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
| 1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
| 1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
| 1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
| 1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.