Amedu, Lucky
Amedu, Lucky is an individual health care provider with primary practice located at 2925 Chicago Ave , Minneapolis MN 55407-1321. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Amedu, Lucky can be contacted via phone (612) 262-7800.Contact Information
Primary practice address
2925 Chicago Ave
Minneapolis MN 55407-1321
Phone: (612) 262-7800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | CNP 5058 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 5058 | Minnesota |
Profile Details
NPI number | 1356882138 |
---|---|
LBN Legal business name | Amedu, Lucky |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 14th, 2017 |
Last updated | Mar 1st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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