MR. Michael Donald Luccketta, LVN
NPI #1851611644 in Ceres, California
Provider Information
- NPI Number
- 1851611644
- Entity Type
- Individual
- Name
- MR. Michael Donald Luccketta, LVN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Jun 3, 2010
- Last Updated
- Jun 3, 2010
Practice Location
- Address
- 1904 RICHLAND AVE
- City
- Ceres
- State
- California
- ZIP Code
- 95307-4562
- Phone
- (209) 541-2121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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