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Organization

LUCKY SPINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LUIS MANUEL RIVERO (DIRECTOR)
(786) 337-1997
Entity
Organization

Contact information

Practice address
771 CORPORATE DR STE 600, LEXINGTON, KY 40503-5414
(786) 337-1997
Mailing address
771 CORPORATE DR STE 600, LEXINGTON, KY 40503-5414
(786) 337-1997

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
05/12/2025
Last updated
05/12/2025
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