Luce, Richaly

Luce, Richaly is an individual health care provider with primary practice located at 424 S Monroe Ave Ste 106 , Green Bay WI 54301-4054. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Hygienist, Other Service Providers / Specialist. Dental Providers / Dental Hygienist is her primary health care specialty. Luce, Richaly can be contacted via phone (920) 544-0346.

Contact Information

Primary practice address
424 S Monroe Ave Ste 106 Green Bay WI 54301-4054
Fax: (920) 489-8233
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 1003719 Wisconsin
Other Service Providers / Specialist 174400000X 703436 California

Profile Details

NPI number 1508115817
LBN Legal business name Luce, Richaly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2012
Last updated Sep 17th, 2020 - about 4 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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