Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUMN FAWN STEWART LUCKEY
Active Sole ProprietorAUTUMN FAWN STEWART LUCKEY is a Community Health Worker healthcare provider located in LOS ANGELES, California. NPI 1164047510 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · LOS ANGELES, CA
Registration Details
- NPI Number
- 1164047510
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2020 (6.1885490347622 yrs)
- Last Updated
- May 8, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
11303 W WASHINGTON BLVD STE 200LOS ANGELES, CA, 900666003Browse CA providers · Browse ZIP 90066
- Phone
- 3104826600
- Fax
- 3103130973
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Occupational Therapy Assistant
Other Community Health Worker Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MR. FRANK WILBUR COMPTON | — | 1811079981 |
| LISA JANELLE STEWART | — | 1598849143 |
| MS. AMANDA DENISE HARDY | — | 1952487530 |
| MR. STEPHEN J RIVERA | — | 1265504260 |
| MS. SUMMER MARSETT HUNTER | — | 1497823884 |
| MR. ERON DESHANE JOHNSON | — | 1609923218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.