Individual provider · Type 1 NPI

Lucas James Tlachac, NP

Nurse Practitioner · Green Bay, WI

NPI number 1245979640 Active

Practice location

2845 Greenbrier Rd
Green Bay, WI 54311-6519

Call (920) 288-8350 Map

Fax (920) 288-8355

Mailing address

1035 Kepler Dr
Green Bay, WI 54311-8320

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X12158-33 (WI)
Nurse Practitioner Primary 363L00000X12158-33 (WI)
Registered Nurse 163W00000X236493-30 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1245979640

Lucas James Tlachac, NP's National Provider Identifier is 1245979640, issued on Jun 2, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Apr 28, 2026.