Individual
MATTHEW THOMAS LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
221 4TH AVE SW, ROCHESTER, MN 55905-0014
(507) 284-5233
Mailing address
221 4TH AVE SW, ROCHESTER, MN 55905-0014
(507) 284-5233
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
2478878
MN
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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