Individual provider · NPI-1

Lukas David Torres

Physician Assistant · Oak Creek, WI

NPI number1851048177
StatusActive
Last updated in NPPESJan 8, 2025

Details

NPI
1851048177
Entity type
Individual (NPI-1)
Name
Lukas David Torres
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 7, 2022
Certification date
Jan 8, 2025
Last updated
Jan 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant7033WIYes
202K00000X Phlebology7033-23WI

Practice location

7003 S Howell Ave Ste 1600
Oak Creek, WI 53154-1460

Phone 262-476-4900

Mailing address

7003 S Howell Ave Ste 1600
Oak Creek, WI 53154-1460

Phone 262-476-4900

Other practice locations

10625 W North Ave Ste 101b
Wauwatosa, WI 53226-2315

Phone 414-727-9183

400 N Executive Dr Ste 110
Brookfield, WI 53005-6029

Phone 262-476-4900

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Oak Creek, WI