STEPHANIE N LUCKETT

LOUISVILLE, KY
NPI1003224833
Former NameSTEPHANIE N MITCHELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: KY  9477)
Enumeration Date2014-07-24
Last Update Date2016-08-06
Business Address
-- STEPHANIE N LUCKETT DMD
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-772-8160
Mailing Address
-- STEPHANIE N LUCKETT DMD
2215 PORTLAND AVENUE
LOUISVILLE, KY 40242-3214
Phone number: 502-772-8160
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