Individual provider · Type 1 NPI
Dede Luczak, OWNER
Other Technician · Jacksonville, FL
NPI number
1225419260
Active
Practice location
2600 Seneca Dr
Jacksonville, FL 32259-2117
Fax (904) 436-5977
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | CGC062824 (FL) |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1225419260
Dede Luczak, OWNER's National Provider Identifier is 1225419260, issued on Jun 16, 2015. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 16, 2015.