Nicholas Edwin Lucke

NPI #1205581220 in Bloomington, Minnesota

Provider Information

NPI Number: 1205581220
Entity Type: Individual
Name: Nicholas Edwin Lucke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 17, 2022
Last Updated: Feb 17, 2022

Practice Location

Address: 3800 AMERICAN BLVD W STE 740
City: Bloomington
State: Minnesota
ZIP Code: 55431-4422
Phone: (612) 925-8365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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