Corianna Lucky in Southfield - Physician Assistant
Corianna Lucky - NPI 1326015892
Corianna Lucky is a Physician Assistant in Southfield, Michigan. Corianna Lucky practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Corianna Lucky is 1326015892. The last update date is 2022-07-28.
Corianna Lucky's current location address is 26901 Beaumont Blvd # 3d, Southfield, Michigan. You can contact this provider via phone number 9475221952 and fax number 9475220307. The mailing address for Corianna Lucky is 26901 Beaumont Blvd # 3d, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Corianna Lucky |
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Address | 26901 Beaumont Blvd # 3d, Southfield, Michigan |
Phone Number | 9475221952 |
Fax Number | 9475220307 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1326015892 |
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Provider Enumeration Date | 2006-03-03 |
Last Updated Date | 2022-07-28 |
Provider Mailing Address Detail
Address | 26901 Beaumont Blvd # 3d |
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City | Southfield |
State | Michigan (MI) |
Post Code | 480333849 |
Phone Number | 9475221952 |
Fax Number | 9475220307 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5601004155 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Corianna Lucky's 1326015892?
The Corianna Lucky's NPI (National Provider Identifier) Number is 1326015892. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Corianna Lucky by the Centers for Medicare & Medicaid Services (CMS)?
The Corianna Lucky has been assigned the NPI (National Provider Identifier) 1326015892. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Corianna Lucky's specialty and taxonomy code?
The Corianna Lucky's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1326015892 to Corianna Lucky?
The Corianna Lucky received its 1326015892 assignment from the Centers for Medicare & Medicaid Services on 2006-03-03.
When was the Corianna Lucky's information last updated?
The Corianna Lucky's information was last updated on 2022-07-28.