Individual
ELIJAH LUCHMUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5197 NW LOWER RIVER RD., VANCOUVER, WA 98660
(360) 747-1308
Mailing address
146 DECATUR DR, KELSO, WA 98626-1890
(360) 747-1308
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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