Individual
LUKE T PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2424 S 102ND ST, WEST ALLIS, WI 53227-2106
(414) 373-7474
Mailing address
1500 S COACHLIGHT DR, NEW BERLIN, WI 53151-1450
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1759933
WI
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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