NPI 1790663110

Lukas Maxwell Wilson

Practitioner Intermediate Emergency Medical Technician Yucaipa, CA

Practice location

Address: 35114 Mountain View St, Yucaipa, CA 92399-4725
Phone: (909) 708-7556

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 5251-2674-5073 (CA)

Other Emergency Medical Technician, Intermediate providers in California →

Registry record

NPI: 1790663110
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2025
Record last updated: 25 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.