ANDREA LEE LUCKETT

LOUISVILLE, KY
NPI1619951514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  3004813)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  1077892)
Enumeration Date2005-12-05
Last Update Date2023-03-01
Business Address
ANDREA LEE LUCKETT CRNA
3920 DUTCHMANS LN
LOUISVILLE, KY 40207-4702
Phone number: 502-259-6710
Mailing Address
ANDREA LEE LUCKETT CRNA
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number: 502-588-0328