Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lewis R Domke, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1407865967

Lewis R Domke, MD is a Geriatric Medicine (Internal Medicine) Physician in Wauwatosa, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone: (414) 256-1940
Fax: (414) 256-1941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 46542 (WI)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 46542 (WI)

Record details

NPI number1407865967
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 5, 2006
Last updated in NPPESMarch 7, 2023

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