Individual provider · Type 1 NPI

Michael Donald Luccketta, LVN

Licensed Vocational Nurse · Ceres, CA

NPI number 1851611644 Active

Practice location

1904 Richland Ave
Ceres, CA 95307-4562

Fax (209) 541-2083

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000XV191854 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1851611644

Michael Donald Luccketta, LVN's National Provider Identifier is 1851611644, issued on Jun 3, 2010. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Ceres, CA. The record was last updated on Jun 3, 2010.