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Individual

LUCAS LAWRENCE SKODA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75284-21
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
75284
WI
229N00000X
Anaplastologist
75284-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
75284-21
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/30/2019
Last updated
12/10/2024
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