# MS. AUDREY LUCY LUCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134519507
- **Gender:** F
- **Credential:** LM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | MW286 | FL | Yes |

## Other

- **Enumeration date:** 01/23/2015
- **Last updated:** 09/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 13782579 | CAQH NUMBER | FL |