Individual
LUKAS DIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
17000 W NORTH AVE # 2W, BROOKFIELD, WI 53005-4423
(262) 780-4300
Mailing address
17000 W NORTH AVE # 2W, BROOKFIELD, WI 53005-4423
(262) 780-4300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16483-24
WI
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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