NPI | 1396772224 |
---|---|
Other Name | W.D. LUCKY, M.D., INC |
Entity Type | Organization |
Authorized Contact | WILLIAM DAVID LUCKY President 305-238-3990 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL 0029049) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2015-01-05 |