Provider Demographics
NPI:1386873842
Name:TEMME, LUCAS C (DENTIST)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:C
Last Name:TEMME
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 RAILWAY ST NW
Mailing Address - Street 2:
Mailing Address - City:LONSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55046-9661
Mailing Address - Country:US
Mailing Address - Phone:507-744-2359
Mailing Address - Fax:507-744-2350
Practice Address - Street 1:414 RAILWAY ST NW
Practice Address - Street 2:
Practice Address - City:LONSDALE
Practice Address - State:MN
Practice Address - Zip Code:55046-9661
Practice Address - Country:US
Practice Address - Phone:507-744-2359
Practice Address - Fax:507-744-2350
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND126581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice