SHANNON LEE LUCZAK

SOUTH BEND, IN
NPI1093156481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
Enumeration Date2013-07-12
Last Update Date2019-03-04
Business Address
Mrs. SHANNON LEE LUCZAK APN
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601-1003
Phone number: 574-232-2037
Mailing Address
Mrs. SHANNON LEE LUCZAK APN
1531 S HALSTED ST UNIT 301
CHICAGO, IL 60607-5135
Phone number: 989-482-7696
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