NPI 1104288430

Lucas M Boehm, MD

Practitioner Plastic Surgery Physician Milwaukee, WI

Practice location

Address: 6002 N Port Washington Rd, Milwaukee, WI 53217-4524
Phone: (414) 439-3000
Mailing address: N86w14041 Beacon St, Menomonee Falls, WI 53051-3246

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 68458-20 (WI)

Other Plastic Surgery providers in Wisconsin →

Registry record

NPI: 1104288430
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2016
Record last updated: 16 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.