Individual
BRIANNA LUCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
834 MAIN ST, RACINE, WI 53403-1523
(262) 634-2060
Mailing address
834 MAIN ST, RACINE, WI 53403-1523
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
9629-33
WI
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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