Provider Demographics
NPI:1225064413
Name:LUCE, HELEN M (DO)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:LUCE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3301 CRANBERRY BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WI
Mailing Address - Zip Code:54476-5216
Mailing Address - Country:US
Mailing Address - Phone:715-393-3900
Mailing Address - Fax:715-393-3902
Practice Address - Street 1:3301 CRANBERRY BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:WI
Practice Address - Zip Code:54476-5216
Practice Address - Country:US
Practice Address - Phone:715-393-3900
Practice Address - Fax:715-393-3902
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2011-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI48819207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine