Luckey, Lisa R.

Luckey, Lisa R. is an individual health care provider with primary practice located at 13644 Walsingham Rd , Largo FL 33774-3532. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Luckey, Lisa R. can be contacted via phone (727) 595-2519.

Contact Information

Primary practice address
13644 Walsingham Rd Largo FL 33774-3532
Phone: (727) 595-2519
Fax: (727) 631-0916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OS10452 Florida

Profile Details

NPI number 1508008772
LBN Legal business name Luckey, Lisa R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2009
Last updated Mar 28th, 2024 - about last year

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 1508008772 NPPES
Florida Other 2013366 COVENTRY
Florida Other 21924002 COVENTRY
Florida Other 5799464 COVENTRY
Florida MEDICAID 119460600 COVENTRY
Florida Other 21924001 COVENTRY
Florida Other 232988 COVENTRY
Florida Other 9269370 COVENTRY
Florida Other 342337 COVENTRY

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