Individual
LEW LAUKKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(906) 229-6120
(906) 229-6191
Mailing address
103 W US HIGHWAY 2, WAKEFIELD, MI 49968-9515
(906) 229-6120
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704186516
MI
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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