MEDICARE: LUKAS GRAHAM HOCKMAN MD

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	208600000X	Surgery Physician	2015019336	MO
2	208800000X	Urology Physician	A168832	CA
3	208800000X	Urology Physician	0446304	KS
4	208800000X	Urology Physician	2022022257	MO

General Provider Information

NPI Number	:	1891177226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKAS GRAHAM HOCKMAN MD

Provider Business Mailing Address
First Line	:	8551 BLUEJACKET ST
Second Line	:
City	:	LENEXA
State	:	KS
Zip	:	66214-1656
Country	:	US
Telephone Number	:	913-341-7985
Fax Number	:	913-341-7988

Provider Business Practice Location Address
First Line	:	4321 WASHINGTON ST STE 5300
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64111-5931
Country	:	US
Telephone Number	:	816-531-1234
Fax Number	:	816-531-0737

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

Provider Enumeration Date	:	06/22/2015
Last Update Date	:	09/06/2022

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