Lucky, Corianna
Lucky, Corianna is an individual health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lucky, Corianna can be contacted via phone (248) 964-4866.Contact Information
Primary practice address
44201 Dequindre Rd
Troy MI 48085-1117
Phone: (248) 964-4866
Fax: (248) 964-4848
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004155 | Michigan |
Profile Details
NPI number | 1326015892 |
---|---|
LBN Legal business name | Lucky, Corianna |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Jul 28th, 2022 - about 2 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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