Brandon Lucke-Wold
Neurosurgeon
1149 S Newell Dr Deapartment Of Neurosurgery Bldg #59
Gainesville
, Florida 32610
Brandon Lucke-Wold
Neurosurgeon
1149 S Newell Dr Deapartment Of Neurosurgery Bldg #59
Gainesville
, Florida 32610
(719) 459-2760
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Brandon Lucke-Wold
- Po Box 100265
- Gainesville, FL
- Zip : 32610-0265
- Phone : (719) 459-2760
Second Address
- Brandon Lucke-Wold
- 1149 S Newell Dr Deapartment Of Neurosurgery Bldg #59
- Gainesville, FL
- Zip : 32610
- Phone : (352) 273-7777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | TRN27343 | FL |
National Provider Identifier
| NPI | 1104310549 |
|---|---|
| Provider Name | Brandon Lucke-Wold |
| First Address | Gainesville, FL 32610-0265 |
| Second Address | Gainesville, FL 32610 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2018 |
| Last Update Date | 25/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.