Individual
LUCAS LAWRENCE SKODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
Other
Enumeration date
03/30/2019
Last updated
12/10/2024
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