Dr. Dominique Lanelle Luckey
Gynecologist Obstetrician
1701 E Cesar Chavez Ave Suite #402
Los Angeles
, California 90033-2464
Dr. Dominique Lanelle Luckey
Gynecologist Obstetrician
1701 E Cesar Chavez Ave Suite #402
Los Angeles
, California 90033-2464
(323) 255-3437
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About
Features
Specialties
- Gynecologist
- Obstetrician
Languages spoken
- English
Location
First Address
- Dr. Dominique Lanelle Luckey
- 5823 York Blvd #1
- Los Angeles, CA
- Zip : 90042-2634
- Phone : (323) 255-3437
Second Address
- Dr. Dominique Lanelle Luckey
- 1701 E Cesar Chavez Ave Suite #402
- Los Angeles, CA
- Zip : 90033-2464
- Fax : (323) 317-9206
- Phone : (323) 317-9200
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | A69874 | CA |
| N | 207VX0000X | Obstetrician | A69874 | CA |
National Provider Identifier
| NPI | 1326033804 |
|---|---|
| Provider Name | Dr. Dominique Lanelle Luckey |
| First Address | Los Angeles, CA 90042-2634 |
| Second Address | Los Angeles, CA 90033-2464 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2005 |
| Last Update Date | 18/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A698740 | (05) | CA |
| 00A698740 | BLUE SHIELD (01) | CA |
| H81387 | (02) | CA |
| P00384423 | MEDICARE RAILROAD (01) | GA |
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.