Individual
CONNIE LUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
834 JUPITER DR, #304, MADISON, WI 53718-2960
(608) 630-3823
Mailing address
834 JUPITER DR, #304, MADISON, WI 53718-2960
(608) 630-3823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105298-30
WI
163WW0000X
Wound Care Registered Nurse
105298-30
WI
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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