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NPI Code Detail

MEDICARE: APRIL DIANE LUCKER LADC

MEDICARE: APRIL DIANE LUCKER LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor305217MN

General Provider Information

NPI Number : 1134914443
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL DIANE LUCKER LADC
Provider Business Mailing Address
First Line : 3523 ARCADE ST
Second Line :
City : VADNAIS HEIGHTS
State : MN
Zip : 55127-7135
Country : US
Telephone Number : 651-468-5538
Fax Number :
Provider Business Practice Location Address
First Line : 3523 ARCADE ST
Second Line :
City : VADNAIS HEIGHTS
State : MN
Zip : 55127-7135
Country : US
Telephone Number : 651-468-5538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2025
Last Update Date : 04/09/2025

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Directions to “ APRIL DIANE LUCKER LADC” Practice Location

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