Luck, Lori Renee
Luck, Lori Renee is an individual health care provider with primary practice located at Erie Ave At Front St Department Of Hematology, Philadelphia PA 19134-1095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Luck, Lori Renee can be contacted via phone (215) 427-5096.Contact Information
Primary practice address
Erie Ave At Front St Department Of Hematology
Philadelphia PA 19134-1095
Phone: (215) 427-5096
Fax: (215) 427-6684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | MD424511 | Pennsylvania |
Profile Details
| NPI number | 1841247756 |
|---|---|
| LBN Legal business name | Luck, Lori Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841247756 | NPPES |
| Pennsylvania | MEDICAID | 1010867820001 |
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