Bruce a Luccas, Md, LLC

NPI #1023204963 in Racine, Wisconsin

Provider Information

NPI Number: 1023204963
Entity Type: Organization
Organization Name: Bruce a Luccas, Md, LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 24, 2007
Last Updated: May 12, 2011

Practice Location

Address: 3805B SPRING ST
Address 2: STE 130
City: Racine
State: Wisconsin
ZIP Code: 53405-1641
Phone: (262) 631-8750

Authorized Official

Name: PATTY MORENO
Title: OFFICE MANAGER
Phone: (262) 631-8750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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