LUCKY LY

ERIE, PA
NPI1639739113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA  OT019118)
Enumeration Date2019-06-18
Last Update Date2023-03-15
Business Address
LUCKY LY DO
5515 PEACH ST
ERIE, PA 16509-2695
Phone number: 814-864-4031
Mailing Address
LUCKY LY DO
5515 PEACH ST
ERIE, PA 16509-2695
Phone number: 814-864-4031
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