Luckson Previl O.D.

NPI 1780017483 - Optometrist - 152W00000X

NPI Details
NPI 1780017483
Gender Male
Enumeration Date 08/16/2013
Last Updated 03/21/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
7268 JARNIGAN RD
SUITE 200
CHATTANOOGA TN, 37421-3097, US
Phone (423) 508-7337
Fax (423) 508-7338
Business Location
7268 JARNIGAN RD
SUITE 200
CHATTANOOGA TN, 37421-3097, US
Phone (423) 508-7337
Fax (423) 508-7338
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number 3138
Remove 1780017483 NPI Number
 

According to our database, Luckson Previl O.D. NPI is 1780017483, taxonomy code is 152W00000X and license number is 3138, license state is located at Tennessee. Luckson Previl O.D. physically located at 7268 Jarnigan Rd, Chattanooga TN, 37421-3097. NPI Number Luckson Previl O.D. has the Individual type.

Sponsored links

1780017483 NPI number is provided on an as is basis without warranty of any kind. 1780017483 is maintained by the National Plan & Provider Enumeration System. The contents of Luckson Previl O.D. are for informational purposes only.