Individual
MACKENZIE ANNE LUCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-8383
Mailing address
2700 UNIVERSITY AVE W APT 225, SAINT PAUL, MN 55114-1785
(218) 343-1106
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
8374
MN
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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