Individual
VICKI LEE LUCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3510 STEELHAMMER DR # 3, CENTRALIA, WA 98531-4551
(360) 388-0775
Mailing address
3510 STEELHAMMER DR # 3, CENTRALIA, WA 98531-4551
(360) 388-0775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00034331
WA
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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