| 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 |