Individual
THERESA MARIE LUCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8185
Mailing address
1482 W GATEWAY CICLE S, FARGO, ND 58103
(701) 659-0176
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
R-1070
ND
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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