Individual
LUCIA C ROMAN-MARCIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
309 E NORTH ST, WAUKESHA, WI 53188-3718
(414) 672-1353
(414) 672-4265
Mailing address
PO BOX 778789, CHICAGO, IL 60677-8789
(414) 672-1353
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41856
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32527700
—
WI
01
—
5140837
CIGNA
WI
01
—
7160043
AETNA
WI
Enumeration date
06/21/2005
Last updated
06/26/2023
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