LUCAS C DANIELS (NPI# 1578175063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578175063 |
| Entity Type | Individual |
| Full Name | LUCAS C DANIELS |
| Credential | NP |
| Practice Address |
129 Old Abe Rd Lac Du Flambeau WI 54538-9386 |
| Practice Telephone | 7155883371 |
| Mailing Telephone | 7155883371 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1028333 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
129 OLD ABE RD |
| City | LAC DU FLAMBEAU |
| State | WI |
| Zip Code | 54538-9386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795223 | Kenneth R Ninham | Counselor | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2005-10-27 |
| 1841801388 | Andrew Friedley | Pharmacist | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2020-08-10 |
| 1386255834 | Nicholis Ross Laporte | Pharmacist | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2020-08-10 |
| 1689145443 | Alissa R Martin | Social Worker | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2018-12-05 |
| 1831556901 | Katrina Angel Mares | Chiropractor | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2016-01-20 |
| 1831570761 | Shane Brahm | Optometrist | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2015-06-16 |
| 1447690375 | Emily E Busha | Physician Assistant | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2013-06-25 |
| 1770812505 | Scott C Kuehn | Counselor | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2009-12-07 |
| 1134235047 | Lac Du Flambeau Band of Lake Superior Chippewa Indians | Clinic/Center | 129 Old Abe Rd, Lac Du Flambeau, WI 54538-9386 | 2006-08-22 |
| 1447271408 | Lac Du Flambeau Band of Lake Superior Chippewa Indians | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 129 Old Abe Rd, Lac Du Flambeau, WI 54538 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265757256 | Stacey Dean | Registered Nurse | 8727 West Squaw Lake Road, Lac Du Flambeau, WI 54538 | 2010-04-01 |
| 1447398532 | Wendy Lindstrom | Counselor | 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 | 2007-02-02 |
| 1932295581 | Rick Lee Howe | Pharmacist | 450 Ols Abe Road, Lac Du Flambeau, WI 54538 | 2006-10-04 |
| 1902990534 | Timothy P. Obukowicz | Pharmacist | 450 Old Abe Road, Lac Du Flambeau, WI 54538 | 2006-10-03 |
| 1295849420 | Brian D Schafer | Pharmacist | 129 Old Abe Road, Lac Du Flambeau, WI 54538 | 2006-08-17 |
| 1720071723 | Town of Lac Du Flambeau | Ambulance | 614 Wild Rice Avenue, Lac Du Flambeau, WI 54538 | 2005-08-24 |
| 1508223066 | Amber Bickler | Dental Hygienist | 128 Old Abe Road, Lac Du Flambeau, WI 54538 | 2016-01-28 |
| 1689712770 | Linda M Daniels | Counselor | 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 | 2007-02-02 |
| 1477611432 | Gary Louis Gusmerotti | Dentist | 128 Old Abe Rd, Lac Du Flambeau, WI 54538-0128 | 2006-12-04 |
| 1073940136 | Sarah Jean Galloy | Dental Hygienist | 128 Old Abe Road, Lac Du Flambeau, WI 54538-0128 | 2013-10-03 |
| Find all providers in zip 54538 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772702 | Ashley Zimmerman | Nurse Practitioner | W316s2978 Short Rd, Waukesha, WI 53188-9120 | 2020-08-27 |
| 1073141495 | Judith Hummel | Nurse Practitioner | 18125 Prairie Falcon Ln, Brookfield, WI 53045-6316 | 2020-03-31 |
| 1982258828 | Amanda Nesta | Nurse Practitioner | 1812 E Howard Ave, Milwaukee, WI 53207-4000 | 2019-07-29 |
| 1720591035 | Kelyn Marie Levy | Nurse Practitioner | 9200 W Wisconsin Ave Ste 5200, Milwaukee, WI 53226-3522 | 2017-11-08 |
| 1376087775 | Connie Endvick | Nurse Practitioner | 425 Pine Ridge Blvd Ste 200, Wausau, WI 54401-4123 | 2016-12-05 |
| 1538545728 | Katherine Lee Alvarez | Nurse Practitioner | 3200 Pleasat Valley Road, West Bend, WI 53095-9274 | 2015-08-11 |
| 1821475120 | Amin Namazi | Nurse Practitioner | 725 American Ave., Prohealth Care Waukesha Memorial Hospital, Waukesha, WI 53188-5099 | 2015-05-06 |
| 1356775183 | Urvil M Patel | Nurse Practitioner | 4025 N 92 St., Wauwatosa, WI 53222 | 2013-08-28 |
| 1295008399 | Amanda Fischer | Nurse Practitioner | 2435 Sumac Dr, Racine, WI 53402-1487 | 2012-02-21 |
| 1801124904 | Jennifer Ottelien | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 300, Milwaukee, WI 53215-3660 | 2009-12-01 |
| Find all providers with the same taxonomy | ||||
| City | LAC DU FLAMBEAU |
| Zip Code | 54538 |
Please comment or provide details below to improve the information on LUCAS C DANIELS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.