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Cassandra Luckett
NPI 1467126060 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5525 Concord Dr Ne
Jackson, MS 39211 - Phone
- (205) 373-9710
Registry record
- Primary taxonomy
- 376J00000X
376J00000X
- Also registered as
- 171000000X
374U00000X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi