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Individual

DONNA LUCHETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11 DEER CREEK CT, LAKE IN THE HILLS, IL 60156-5500
(847) 758-2800
Mailing address
9455 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3559
(414) 257-6995

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036081455
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036081455
IL
Enumeration date
10/19/2006
Last updated
02/23/2017
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