Individual
JODY LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
700 5TH ST S, HOPKINS, MN 55343-7764
(952) 993-0799
Mailing address
698 NEWBERRY LN, CHASKA, MN 55318-3205
(612) 578-5700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8997
MN
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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