Individual
MRS. MARY M LUCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(317) 828-3956
Mailing address
9053 HEARTHSTONE DR, ZIONSVILLE, IN 46077-5514
(317) 828-3956
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
4704394196
MI
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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