Individual
NICOLE LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2421 ADLER CIR, MIDDLETON, WI 53562-2801
(608) 886-0727
Mailing address
2421 ADLER CIR, MIDDLETON, WI 53562-2801
(608) 886-0727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
157075-030
WI
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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