Individual
DR. LUCILLE M MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(612) 205-5545
Mailing address
3395 PLYMOUTH RD, MINNETONKA, MN 55305-3765
(612) 205-5545
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 5305
MN
Other
Enumeration date
07/22/2010
Last updated
10/18/2010
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