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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL DONALD LUCCKETTA, LVN

Active

MR. MICHAEL DONALD LUCCKETTA, LVN is a Licensed Vocational Nurse healthcare provider located in CERES, California. NPI 1851611644 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · CERES, CA

Registration Details

NPI Number
1851611644
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2010 (16.152876923911 yrs)
Last Updated
Jun 3, 2010
License
V191854 (CA)

Practice Information

Address
1904 RICHLAND AVE
CERES, CA, 953074562
Browse CA providers · Browse ZIP 95307
Phone
2095412121
Fax
2095412083
Primary Specialty
Licensed Vocational Nurse
164X00000X

Other Licensed Vocational Nurse Providers in CERES, CA

Name Credential NPI
MRS. JACQUELINE LEE CASE LVN 1760568059
SAMANTHA ANN BRUNO LVN 1295856029
TRACY LYNN SHIPMAN 1780707620
MARCI K COUCH LVN 1841614468
MRS. TAMMY MAE LYNN CANNON 1437574068
MS. LEISA SUZANNE ELLIOTT 1568886182
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.