Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY GAIL LUCTERHAND, MAT
Active Sole ProprietorSTACEY GAIL LUCTERHAND, MAT is a Specialist/Technologist, Surgical healthcare provider located in HIGHLAND PARK, Illinois. NPI 1295384337 is currently active in the NPPES registry. Verify at CMS.
Specialist/Technologist, Surgical · HIGHLAND PARK, IL
Registration Details
- NPI Number
- 1295384337
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2019 (6.9417227897652 yrs)
- Last Updated
- Sep 11, 2019
- License
-
863533 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
133 RIDGE RDHIGHLAND PARK, IL, 600354338Browse IL providers · Browse ZIP 60035
- Phone
- 8479629326
- Primary Specialty
-
Specialist/Technologist, Surgical
246Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.