NPI 1093156481

Shannon Lee Luczak, APN

Practitioner Advanced Practice Midwife South Bend, IN

Practice location

Address: 515 N Lafayette Blvd, South Bend, IN 46601-1003
Phone: (574) 232-2037
Mailing address: 1531 S Halsted St Unit 301, Chicago, IL 60607-5135

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X

Other Advanced Practice Midwife providers in Indiana →

Registry record

NPI: 1093156481
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2013
Record last updated: 4 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.