Luckhardt, Diana Lynn

Luckhardt, Diana Lynn is an individual health care provider with primary practice located at 2622 Heartland Blvd , Ionia MI 48846-8757. 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. Luckhardt, Diana Lynn can be contacted via phone (517) 913-3860.

Contact Information

Primary practice address
2622 Heartland Blvd Ionia MI 48846-8757
Phone: (517) 913-3860
Fax: (517) 484-6864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704130092 Michigan

Profile Details

NPI number 1760767040
LBN Legal business name Luckhardt, Diana Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2011
Last updated Oct 24th, 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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