Individual
LUCAS M BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6002 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-4524
(414) 439-3000
Mailing address
N86W14041 BEACON ST, MENOMONEE FALLS, WI 53051-3246
(414) 439-3000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
68458-20
WI
Other
Enumeration date
03/25/2016
Last updated
01/16/2025
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