Individual provider · Type 1 NPI

Haley Allison Luckew

Gerontology Nurse Practitioner · Minneapolis, MN

NPI number 1376018655 Active

Practice location

1415 Lilac Dr N Ste 190
Minneapolis, MN 55422-4544

Fax (763) 231-9602

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X6126 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1376018655

Haley Allison Luckew's National Provider Identifier is 1376018655, issued on Oct 12, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 11, 2019.