Individual
SHANNON TERESE LUCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 245-3456
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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