STACEY GAIL LUCTERHAND MAT NPI 1295384337

NPI Information

NPI: 1295384337
Provider Name: STACEY GAIL LUCTERHAND, MAT
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
133 RIDGE RD
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 962-9326
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Stacey Gail Lucterhand, MAT is a specialist technologist other in Highland Park, IL. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Stacey Gail Lucterhand, MAT NPI is 1295384337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

133 RIDGE RD
HIGHLAND PARK, IL
ZIP 60035-338
Phone: (847) 962-9326

The enumeration date for this NPI number is 9/11/2019 and was last updated on 9/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246Z00000X	Specialist/Technologist, Other		863533	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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