Individual
REBECCA LOUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1564 S WASHINGTON ST, DU QUOIN, IL 62832-3849
(618) 542-8702
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041276610
IL
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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