Individual
LUCAS MARC HACKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-7400
(414) 805-7388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7203
WI
Other
Enumeration date
01/06/2023
Last updated
01/31/2023
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