Individual
LUCI M LALUZERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3416 N ASSOCIATION DR, APPLETON, WI 54914-1479
(920) 364-9078
Mailing address
3416 N ASSOCIATION DR, APPLETON, WI 54914-1479
(920) 364-9078
(920) 243-1792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3766-226
WI
101YM0800X
Mental Health Counselor
—
WI
101YP2500X
Professional Counselor
Primary
7507-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071707
—
WI
Enumeration date
09/13/2017
Last updated
03/08/2022
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