Individual provider · Type 1 NPI

Lucas M. Mirera, DO

Family Medicine Physician · Manitowoc, WI

NPI number 1891439105 Active

Practice location

4100 Dewey St
Manitowoc, WI 54220-5497

Call (920) 686-5700 Map

Fax (920) 684-2936

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X82032 (WI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1891439105

Lucas M. Mirera, DO's National Provider Identifier is 1891439105, issued on Apr 22, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Manitowoc, WI. The record was last updated on Nov 17, 2025.