Individual
MRS. TINA MARIE LUCHINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
5500 8TH AVE, KENOSHA, WI 53140-3700
(262) 564-0067
Mailing address
5500 8TH AVE, KENOSHA, WI 53140-3700
(262) 564-0067
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WI
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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