JACLYN LUCKHARDT

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1184274631

Practice Address

37 COLLEGE AVE
Gorham, ME 04038

Phone: (603) 845-8427

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1184274631 is the National Provider Identifier for JACLYN LUCKHARDT, a Student in an Organized Health Care Education/Training Program provider located in Gorham, ME. This NPI was enumerated on September 17, 2019.
JACLYN LUCKHARDT practices at 37 COLLEGE AVE, Gorham, ME 04038.

Quick Facts

NPI
1184274631
Type
Individual
Enumerated
Sep 17, 2019
Last Updated
Sep 17, 2019

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