SearchPennsylvania103K00000X

Edward Luckey

NPI 1811392848 · on the registry since 2014 · sole proprietor

Practice

Address
812 N 65th St
Phila, PA 19151
Phone
(215) 284-7210

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-04

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 Pennsylvania