Individual
MRS. LYNN ST. VICTOR-LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-BC
Contact information
Practice address
9712 S KEELER AVE, OAK LAWN, IL 60453-3407
(773) 875-0069
Mailing address
9712 S KEELER AVE, OAK LAWN, IL 60453-3407
(773) 875-0069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016660
IL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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