| Mrs Shannon Lee Luczak, APN | |
|
515 N Lafayette Blvd, South Bend, IN 46601-1003 | |
| (574) 232-2037 | |
| Not Available |
| Full Name | Mrs Shannon Lee Luczak |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 515 N Lafayette Blvd, South Bend, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093156481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shannon Lee Luczak, APN 1531 S Halsted St Unit 301, Chicago, IL 60607-5135 Ph: (989) 482-7696 | Mrs Shannon Lee Luczak, APN 515 N Lafayette Blvd, South Bend, IN 46601-1003 Ph: (574) 232-2037 |
Amber Taylor, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 | |
Hannah Grace Yoder, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 547-647-1405 | |
Laura Theresa Mabry, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 | |
Emilie Harvey, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 | |
Ms. Kristin Joy Kile, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 403, South Bend, IN 46601 Phone: 574-647-1405 | |
Melissa E Holderread, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 621 Memorial Dr, Ste 403, South Bend, IN 46601 Phone: 574-647-1405 Fax: 574-647-3970 |