Individual
MR. LUCAS ADAM SUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
731 CLAY ST, DARLINGTON, WI 53530-1225
(608) 776-4497
(608) 776-2837
Mailing address
800 CLAY ST, DARLINGTON, WI 53530-1228
(608) 776-4466
(608) 776-5711
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
195715-30
WI
363LF0000X
Family Nurse Practitioner
Primary
8070-33
WI
Other
Enumeration date
05/16/2013
Last updated
10/10/2023
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