Alan J Licup, MD

NPI #1205048246 in Pleasant Prairie, Wisconsin

Provider Information

NPI Number: 1205048246
Entity Type: Individual
Name: Alan J Licup, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: May 3, 2007
Last Updated: Oct 7, 2025

Practice Location

Address: 12500 AURORA DR
City: Pleasant Prairie
State: Wisconsin
ZIP Code: 53158
Phone: (262) 854-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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