Ronald Dean Luckhardt

NPI #1578102026 in Anoka, Minnesota

Provider Information

NPI Number
1578102026
Entity Type
Individual
Name
Ronald Dean Luckhardt
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Jan 2, 2020
Last Updated
Jan 2, 2020

Practice Location

Address
5617 CLEARY ROAD NW,
City
Anoka
ZIP Code
55303-9624
Phone
(763) 226-9356

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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