Individual provider · Type 1 NPI
Stacey Gail Lucterhand, MAT
Other Specialist/Technologist · Highland Park, IL
NPI number
1295384337
Active
Practice location
133 Ridge Rd
Highland Park, IL 60035-4338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist Primary | 246Z00000X | 863533 (IL) |
Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
About NPI 1295384337
Stacey Gail Lucterhand, MAT's National Provider Identifier is 1295384337, issued on Sep 11, 2019. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Highland Park, IL. The record was last updated on Sep 11, 2019.