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1326015892
CORIANNA LUCKY
TROY, MI
NPI
1326015892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004155)
Enumeration Date
2006-03-03
Last Update Date
2022-07-28
Business Address
CORIANNA LUCKY PA-C
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-4866
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Mailing Address
CORIANNA LUCKY PA-C
26901 BEAUMONT BLVD # 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1952
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