Luckel, Gilbert Lynn

Luckel, Gilbert Lynn is an individual health care provider with primary practice located at 101 Courtenay Cir , Hattiesburg MS 39402-3176. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Luckel, Gilbert Lynn can be contacted via phone (601) 579-5180.

Contact Information

Primary practice address
101 Courtenay Cir Hattiesburg MS 39402-3176
Phone: (601) 579-5180
Fax: (601) 579-5374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R884250 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R884250 Mississippi

Profile Details

NPI number 1275934580
LBN Legal business name Luckel, Gilbert Lynn
Credentials AG-ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2014
Last updated Jul 24th, 2020 - about 5 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 1275934580 NPPES
Mississippi MEDICAID 01001724

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