Doctor Name: | RONALD L LUCHAU |
NPI Number: | 1073645990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LADC |
License Number: | 300793 |
Business Practice Address: | 69 Lafayette St Winona, MN - 559873453 |
Business Phone Number: | 5074542839 |
Business Fax Number: | 5074545864 |
Mailing Address: | 217 Plum St, Armory Center Suite 220 RED WING |
State: | MN |
Postal Code: | 550662351 |
Phone Number: | 6513882090 |
Fax Number: | 6513882129 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 300793 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |