ANNEICA LUCKETT

CALUMET CITY, IL
NPI1639548472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WI  308967)
Enumeration Date2015-09-23
Last Update Date2015-09-23
Business Address
-- ANNEICA LUCKETT LPN
515 BENSLEY AVE
CALUMET CITY, IL 60409-3203
Phone number: 414-405-4072
Mailing Address
-- ANNEICA LUCKETT LPN
515 BENSLEY AVE
CALUMET CITY, IL 60409-3203
Phone number: 414-405-4072
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