MEDICARE: LUCINDA RAE MEIER D.P.M.

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
1	213E00000X	Podiatrist	1042-25	WI

General Provider Information

NPI Number	:	1700174554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCINDA RAE MEIER D.P.M.

Provider Business Mailing Address
First Line	:	3333 S SUNNY SLOPE RD STE 102
Second Line	:
City	:	NEW BERLIN
State	:	WI
Zip	:	53151-4504
Country	:	US
Telephone Number	:	262-821-1588
Fax Number	:	262-821-6644

Provider Business Practice Location Address
First Line	:	3333 S SUNNY SLOPE RD STE 102
Second Line	:
City	:	NEW BERLIN
State	:	WI
Zip	:	53151-4504
Country	:	US
Telephone Number	:	262-821-1588
Fax Number	:	262-821-6644

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2011
Last Update Date	:	07/01/2025

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