# KERA ELIZABETH LUCKRITZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346358595
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 5101019166 | MI | — |
| 2080P0210X | Pediatric Nephrology Physician | 5101019166 | MI | Yes |
| 2080P0210X | Pediatric Nephrology Physician | MB 07863400 | NJ | — |
| 2080P0210X | Pediatric Nephrology Physician | OP00002005 | WA | — |
| 2080P0210X | Pediatric Nephrology Physician | OS 012710 | PA | — |

## Other

- **Enumeration date:** 08/28/2006
- **Last updated:** 06/20/2024