Luckey, Mallory Noelle
Luckey, Mallory Noelle is an individual health care provider with primary practice located at 640 Puddingstone Pkwy , Banner Elk NC 28604-7418. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Luckey, Mallory Noelle can be contacted via phone (864) 237-4021.Contact Information
Primary practice address
640 Puddingstone Pkwy
Banner Elk NC 28604-7418
Phone: (864) 237-4021
Fax: (864) 778-8417
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2022-01271 | North Carolina |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME159060 | Florida |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2023006973 | Missouri |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD214178 | Oregon |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LL39661 | South Carolina |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 302609 | New York |
Profile Details
NPI number | 1770932170 |
---|---|
LBN Legal business name | Luckey, Mallory Noelle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2016 |
Last updated | Apr 4th, 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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