Individual
MALLORY CLARE LUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
1709 N VERMONT AVE, ROYAL OAK, MI 48067-1462
(586) 556-1609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704363402
MI
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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