Individual
MRS. CATHLEEN ANN LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
677 EAST MAIN ST, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
Mailing address
677 EAST MAIN ST, SUITE A, CENTREVILLE, MI 49032
(269) 467-1000
(269) 467-3075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704287669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708146
—
MI
Enumeration date
12/19/2011
Last updated
12/19/2011
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