Individual
LUCAS SCOTT ALTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 457-4858
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
256115-30
WI
363LF0000X
Family Nurse Practitioner
Primary
17260-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100370943
—
WI
Enumeration date
07/30/2025
Last updated
10/06/2025
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