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NPI Code Detail

MEDICARE: MICHELE LUKES-KRAUSE

MEDICARE: MICHELE LUKES-KRAUSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist210117WI

General Provider Information

NPI Number : 1407793706
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE LUKES-KRAUSE
Provider Business Mailing Address
First Line : N9413 ROSEBUD LN
Second Line :
City : APPLETON
State : WI
Zip : 54915-7453
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 CHICAGO ST
Second Line :
City : DE PERE
State : WI
Zip : 54115-3418
Country : US
Telephone Number : 920-619-1555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2026
Last Update Date : 05/04/2026

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Directions to “ MICHELE LUKES-KRAUSE ” Practice Location

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