NPI | 1831272848 |
---|---|
Former Name | DANIELLE L LUKKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3026) |
Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009837) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2016-11-21 |