DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CEDRIC MICHAEL LUCKEY, OTR/L

Active

MR. CEDRIC MICHAEL LUCKEY, OTR/L is a Specialist healthcare provider located in IRMO, South Carolina. NPI 1972930071 is currently active in the NPPES registry. Verify at CMS.

Specialist · IRMO, SC

Registration Details

NPI Number
1972930071
Provider Type
Individual
Gender
Male
NPI Issued
Oct 3, 2013 (12.887400342722 yrs)
Last Updated
Oct 3, 2013
License
1242 (SC)

Practice Information

Address
355 RIDGE RUN TRL
IRMO, SC, 290638667
Browse SC providers · Browse ZIP 29063
Phone
8032712364
Primary Specialty
Specialist
174400000X

Other Specialist Providers in IRMO, SC

Name Credential NPI
DR. MARC S TODD MD 1508880568
DAVID L KULBERSH M.D 1194839969
FREDRICK SUTTON 1043389844
ANTOINE JORDAN 1962850305
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.