# RAJCOMARIE LUCKRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154767127
- **Authorized official:** MISS RAJCOMARIE LUCKRAM (OWNER /CAREGAVER)
- **Authorized official phone:** (941) 743-6276

## Contact information

- **Practice address:** 3166 MARINE TER, PUNTA GORDA, FL 33983-3422
- **Practice address phone:** (941) 743-6276
- **Mailing address:** 3166 MARINE TER, PUNTA GORDA, FL 33983-3422
- **Mailing address phone:** (941) 743-6276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 6906517 | FL | Yes |

## Other

- **Enumeration date:** 05/17/2013
- **Last updated:** 05/17/2013