Healthcare Provider Details

I. General information

NPI: 1033116660
Provider Name (Legal Business Name): LUCI SCHUELLER M.S., L.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 7TH ST NW STE 1
ROCHESTER MN
55901-2666
US

IV. Provider business mailing address

1027 7TH ST NW STE 1
ROCHESTER MN
55901-2666
US

V. Phone/Fax

Practice location:
  • Phone: 507-288-5675
  • Fax: 507-288-4240
Mailing address:
  • Phone: 507-288-5675
  • Fax: 507-288-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2422
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: