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1104368174
KATHRYN LEA LUCKETT
GREENVILLE, SC
NPI
1104368174
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 20521)
Enumeration Date
2016-11-08
Last Update Date
2023-06-05
Business Address
KATHRYN LEA LUCKETT NP
7 INDEPENDENCE PT STE 300
GREENVILLE, SC 29615-4569
Phone number: 864-522-3700
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Mailing Address
KATHRYN LEA LUCKETT NP
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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