Individual
LONNIE LEE STUCKEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
(319) 351-4357
Mailing address
415 N DUBUQUE ST, NORTH LIBERTY, IA 52317-9781
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
083416
KS
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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