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Individual

DR. MONICA ANNE LUCHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 397-3820
(360) 604-1758
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-3820
(360) 604-1758

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60095721
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0250802
L & I
WA
05
8546749
WA
Enumeration date
05/21/2007
Last updated
11/10/2009
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