Mary Luckett MD

NPI 1447370655 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1447370655
Gender Female
Enumeration Date 03/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1500 E MEDICAL CENTER DR
1H247, BOX 0048
ANN ARBOR MI, 48109-0999, US
Phone (734) 936-4280
Fax (734) 936-9091
Business Location
1500 E MEDICAL CENTER DR
1H247, BOX 0048
ANN ARBOR MI, 48109-0999, US
Phone (734) 936-4280
Fax (734) 936-9091
Toxanomy
Taxonomy Code 390200000X
License State Michigan
License Number 4301088126
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According to our database, Dr. Mary Luckett MD NPI is 1447370655, taxonomy code is 390200000X and license number is 4301088126, license state is located at Michigan. Mary Luckett MD physically located at 1500 E Medical Center Dr, Ann Arbor MI, 48109-0999. NPI Number Mary Luckett MD has the Individual type.

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1447370655 NPI number is provided on an as is basis without warranty of any kind. 1447370655 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Luckett MD are for informational purposes only.