Individual
DR. ANDREW LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 K ST STE 502, SACRAMENTO, CA 95816-5119
(916) 887-4660
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A137210
CA
Other
Enumeration date
04/26/2013
Last updated
07/26/2024
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