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Individual
MACKENZIE ANNE LUCCA
Active
Individual
MACKENZIE ANNE LUCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN61136904
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
8374
MN
363LA2100X
Acute Care Nurse Practitioner
Primary
AP70036942
WA
Other
Enumeration date
10/28/2021
Last updated
06/23/2026
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