| Bruce A Luccas, Md, Llc | |
|
3805b Spring St Ste 130 Racine WI 53405-1641 | |
| (262) 631-8750 | |
| (262) 631-8754 |
| Full Name | Bruce A Luccas, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3805b Spring St, Racine, Wisconsin |
| Authorized Official Name and Position | Patty Moreno (OFFICE MANAGER) |
| Authorized Official Contact | 2626318750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce A Luccas, Md, Llc 3805b Spring St Ste 130 Racine WI 53405-1641 Ph: (262) 631-8750 | Bruce A Luccas, Md, Llc 3805b Spring St Ste 130 Racine WI 53405-1641 Ph: (262) 631-8750 |
| NPI Number | 1023204963 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023204963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29473 (Wisconsin) | Primary |
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