Thomas John Luckey
Emergency Physician
8700 Sudley Rd
Manassas
, Virginia 20110-4418
Thomas John Luckey
Emergency Physician
8700 Sudley Rd
Manassas
, Virginia 20110-4418
(240) 686-2300
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Thomas John Luckey
- 20010 Century Blvd Ste 200
- Germantown, MD
- Zip : 20874-1115
- Phone : (240) 686-2300
Second Address
- Thomas John Luckey
- 8700 Sudley Rd
- Manassas, VA
- Zip : 20110-4418
- Phone : (703) 369-8337
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 0101243613 | VA |
| N | 207P00000X | Emergency Physician | MD436552 | PA |
National Provider Identifier
| NPI | 1003949330 |
|---|---|
| Provider Name | Thomas John Luckey |
| First Address | Germantown, MD 20874-1115 |
| Second Address | Manassas, VA 20110-4418 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2007 |
| Last Update Date | 02/11/2012 |
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.