Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0122X | Plastic and Reconstructive Surgery | 125-052772 | IL |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 49667 | TN |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME138870 | FL |
NPI | 1275733081 |
---|---|
Provider Name | Natasha Nicole Luckey |
First Address | Franklin, TN 37067-6499 |
Second Address | Franklin, TN 37067-8235 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2007 |
Last Update Date | 15/07/2019 |