Individual
NATHANIEL J LUCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5151014336
MI
207P00000X
Emergency Medicine Physician
Primary
81197
WI
Other
Enumeration date
06/10/2020
Last updated
01/17/2024
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