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Individual

MS. ELIZABETH MARIE LUCHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSSW, PA-C

Contact information

Practice address
1461 W MAIN ST STE B, WHITEWATER, WI 53190-1568
(262) 472-6839
Mailing address
1461 W MAIN ST STE B, WHITEWATER, WI 53190-1568
(262) 472-6839

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6817123
WI
363A00000X
Physician Assistant
Primary
3332-23
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39749800
WI
Enumeration date
09/04/2006
Last updated
08/13/2024
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