LUCAS M MIRERA

MANITOWOC, WI
NPI1891439105
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  82032)
Enumeration Date2022-04-22
Last Update Date2025-11-17
Business Address
LUCAS M MIRERA DO
4100 DEWEY ST
MANITOWOC, WI 54220-5497
Phone number: 920-686-5700
Mailing Address
LUCAS M MIRERA DO
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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