Individual provider · Type 1 NPI
Diana Lynn Luckhardt, NP
Adult Health Nurse Practitioner · Ionia, MI
NPI number
1760767040
Active
Practice location
2622 Heartland Blvd
Ionia, MI 48846-8757
Fax (517) 484-6864
Mailing address
1703 East Michigan Avenue
Lansing, MI 48912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704130092 (MI) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
Other adult health nurse practitioner providers in Ionia
About NPI 1760767040
Diana Lynn Luckhardt, NP's National Provider Identifier is 1760767040, issued on Oct 18, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Ionia, MI. The record was last updated on Oct 24, 2011.