Luck, Lisa Louise

Luck, Lisa Louise is an individual health care provider with primary practice located at 2524 First Ave , Ketchikan AK 99901-5804. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Luck, Lisa Louise can be contacted via phone (907) 202-8745.

Contact Information

Primary practice address
2524 First Ave Ketchikan AK 99901-5804
Phone: (907) 202-8745
Fax: (907) 885-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Alaska

Profile Details

NPI number 1821692534
LBN Legal business name Luck, Lisa Louise
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2020
Last updated Nov 23rd, 2020 - about 6 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 1821692534 NPPES
Alaska MEDICAID 1584706
Alaska MEDICAID 1021118

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