Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUCKO JEAN
ActiveLUCKO JEAN is a Driver healthcare provider located in NESCONSET, New York. NPI 1467950162 is currently active in the NPPES registry. Verify at CMS.
Driver · NESCONSET, NY
Registration Details
- NPI Number
- 1467950162
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2018 (8.5624042697793 yrs)
- Last Updated
- Jan 28, 2018
Practice Information
- Address
-
205 GIBBS POND RDNESCONSET, NY, 117672265Browse NY providers · Browse ZIP 11767
- Phone
- 6314329691
- Fax
- 6312575866
- Primary Specialty
-
Driver
172A00000X
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.