Individual provider · Type 1 NPI

Rebecca Lynn Lucking, NP

Gerontology Nurse Practitioner · Edina, MN

NPI number 1356694079 Active

Practice location

3400 W 66th St Ste 290
Edina, MN 55435-2133

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR1792650 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1356694079

Rebecca Lynn Lucking, NP's National Provider Identifier is 1356694079, issued on Oct 18, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Edina, MN. The record was last updated on Feb 16, 2016.