Individual
KERA ELIZABETH LUCKRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101019166
MI
2080P0210X
Pediatric Nephrology Physician
Primary
5101019166
MI
2080P0210X
Pediatric Nephrology Physician
MB 07863400
NJ
2080P0210X
Pediatric Nephrology Physician
OP00002005
WA
2080P0210X
Pediatric Nephrology Physician
OS 012710
PA
Other
Enumeration date
08/28/2006
Last updated
06/20/2024
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