Individual
LUCINDA K FENSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2350 N LAKE DR, SUITE 502, MILWAUKEE, WI 53211-4507
(414) 271-3300
(414) 271-5549
Mailing address
8615 N DEAN CIR, RIVER HILLS, WI 53217-2038
(414) 352-8071
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27618
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004101092
AETNA
—
01
—
0603214061727
INDEPENDENT CARE
—
01
—
160058538
RAILROAD MEDICARE
—
05
—
31504100
—
WI
Enumeration date
07/22/2005
Last updated
11/17/2010
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