Luczak, Shannon Lee

Luczak, Shannon Lee is an individual health care provider with primary practice located at 515 N Lafayette Blvd , South Bend IN 46601-1003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Luczak, Shannon Lee can be contacted via phone (574) 232-2037.

Contact Information

Primary practice address
515 N Lafayette Blvd South Bend IN 46601-1003
Phone: (574) 232-2037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1093156481
LBN Legal business name Luczak, Shannon Lee
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2013
Last updated Mar 4th, 2019 - about 5 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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