Jean, Lucko

Jean, Lucko is an individual health care provider with primary practice located at 205 Gibbs Pond Rd , Nesconset NY 11767-2265. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Jean, Lucko can be contacted via phone (631) 432-9691.

Contact Information

Primary practice address
205 Gibbs Pond Rd Nesconset NY 11767-2265
Phone: (631) 432-9691
Fax: (631) 257-5866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1467950162
LBN Legal business name Jean, Lucko
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2018
Last updated Jan 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467950162 NPPES
New York MEDICAID 04582707

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