Individual
STACEY LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 SOUTH AVE, PITTSBURGH, PA 15221-2940
(412) 243-3400
Mailing address
712 SOUTH AVE, PITTSBURGH, PA 15221-2940
(412) 243-3400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
PA
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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