DIANA LYNN LUCKHARDT

IONIA, MI
NPI1760767040
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MI  4704130092)
Enumeration Date2011-10-18
Last Update Date2011-10-24
Business Address
-- DIANA LYNN LUCKHARDT NP
2622 HEARTLAND BLVD
IONIA, MI 48846-8757
Phone number: 517-913-3860
Mailing Address
-- DIANA LYNN LUCKHARDT NP
1703 EAST MICHIGAN AVENUE
LANSING, MI 48912
Phone number: 517-913-3860
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