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

Lucas M Boehm, MD

Individual provider Plastic Surgery Physician · NPI 1104288430

Lucas M Boehm, MD is a Plastic Surgery Physician in Milwaukee, Wisconsin. Works from 4 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6002 N Port Washington Rd
Milwaukee, WI 53217-4524
Phone: (414) 439-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1818 N Meade St, Appleton, WI 54911-3454 — (920) 454-5007
  • 1221 Phoenix St # 100, Delavan, WI 53115-2340 — (262) 288-2434
  • 130 2nd St, Neenah, WI 54956-2883 — (920) 454-5007

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 68458-20 (WI)

Record details

NPI number1104288430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2016
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing addressN86w14041 Beacon St, Menomonee Falls, WI 53051-3246

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