Individual
LUCAS W DIERINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1066
(414) 291-1077
Mailing address
845 CARDINAL DR, CEDARBURG, WI 53012-9404
(414) 291-1066
(414) 291-1077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10418-024
WI
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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