Individual
LUCAS GREGORY LEONHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
6480
WI
Other
Enumeration date
04/03/2016
Last updated
02/14/2017
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