Provider Demographics
NPI:1871975136
Name:BROWN, LUKAS JAMES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LUKAS
Middle Name:JAMES
Last Name:BROWN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 W BELTLINE HWY
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-2316
Mailing Address - Country:US
Mailing Address - Phone:608-310-1825
Mailing Address - Fax:
Practice Address - Street 1:2601 W BELTLINE HWY
Practice Address - Street 2:SUITE 302
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-2316
Practice Address - Country:US
Practice Address - Phone:608-310-1825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17921 - 40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist