Search › Wisconsin › 124Q00000X
Richaly Luce
NPI 1508115817 · on the registry since 2012
Practice
- Address
- 424 S Monroe Ave Ste 106
Green Bay, WI 54301 - Phone
- (920) 544-0346
- Fax
- (920) 489-8233
- Organisation at this address
- East Side Family Practice Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Also registered as
- 174400000X
- Licence states on file
- WI, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin