Individual
MRS. LURAE BERNIECE BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1640 NW THORNTON LAKE PL, ALBANY, OR 97321-1376
(541) 981-0818
Mailing address
1640 NW THORNTON LAKE PL, ALBANY, OR 97321-1376
(541) 981-0818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200630116LPN
OR
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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