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Individual

LUKAS WESLEY STEFFAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
6425 W MEQUON RD, MEQUON, WI 53092-1862
(262) 387-8200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5787
WI
363A00000X
Physician Assistant
60792494
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100202900
WI
Enumeration date
09/26/2017
Last updated
07/03/2024
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