Provider Demographics
NPI:1700174554
Name:MEIER, LUCINDA RAE (DPM)
Entity type:Individual
Prefix:
First Name:LUCINDA
Middle Name:RAE
Last Name:MEIER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:LUCINDA
Other - Middle Name:RAE
Other - Last Name:MALVITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3333 S SUNNY SLOPE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-4504
Mailing Address - Country:US
Mailing Address - Phone:262-821-1588
Mailing Address - Fax:262-821-6644
Practice Address - Street 1:3333 S SUNNY SLOPE RD STE 102
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-4504
Practice Address - Country:US
Practice Address - Phone:262-821-1588
Practice Address - Fax:262-821-6644
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1042-25213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist