LUKE P LENTSCHER, PA-C, Surgical BEAVER DAM, WI

Contact Information

LUKE P LENTSCHER, PA-C

250 CORPORATE DR
BEAVER DAM, WI 53916

Phone: 920-887-6650
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for LUKE P LENTSCHER · (Male)

NPI Number	`1609065085`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	10/22/2007
Last updated	12/16/2020 - About 5 years ago
Sole proprietor ¹	No
Identifiers	IL License # 085003078 WI License # 3061-23
Hospital affiliation(s)	WAUPUN MEMORIAL HSPTL - (Critical Access) 620 W BROWN ST WAUPUN, WI 53963

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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