Lucca, Jill Catherine

Lucca, Jill Catherine is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lucca, Jill Catherine can be contacted via phone (218) 786-8364.

Contact Information

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Phone: (218) 786-8364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R128463-4 Minnesota

Profile Details

NPI number 1578590840
LBN Legal business name Lucca, Jill Catherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 29th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578590840 NPPES
Wisconsin MEDICAID 41261700
Wisconsin MEDICAID 188460300

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