Mrs Rebecca Lynn Lucking, NP | |
3400 W 66th St Ste 290, Edina, MN 55435-2133 | |
(952) 914-1797 | |
Not Available |
Full Name | Mrs Rebecca Lynn Lucking |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 3400 W 66th St Ste 290, Edina, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356694079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | R1792650 (Minnesota) | Primary |
Entity Name | Fairview Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Mailing Address | Practice Location Address |
---|---|
Mrs Rebecca Lynn Lucking, NP 3400 W 66th St Ste 290, Edina, MN 55435-2133 Ph: (612) 419-1759 | Mrs Rebecca Lynn Lucking, NP 3400 W 66th St Ste 290, Edina, MN 55435-2133 Ph: (952) 914-1797 |
Vicki I Buth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6545 France Ave S, Ste 540, Edina, MN 55435 Phone: 952-927-4045 Fax: 952-924-4133 | |
Allison Dillon, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-914-1733 | |
Sarah Marie Nolan-holicky, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-836-3637 | |
Stephen Swenson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8100 W 78th St Ste 230, Edina, MN 55439 Phone: 952-946-9777 | |
Lisa Kae Feese, RN CDE FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7701 York Ave S, Suite 180, Edina, MN 55435 Phone: 952-927-7810 Fax: 952-927-6309 | |
Kelley F Grotting, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4010 W 65th St, Edina, MN 55435 Phone: 952-456-7000 Fax: 952-456-7001 | |
Jennifer B Galang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6405 France Ave S, Suite W200, Edina, MN 55435 Phone: 952-924-9005 Fax: 952-924-0330 |