Individual
DR. SUZANNE LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 4000, BATON ROUGE, LA 70808-4300
(225) 766-7441
(225) 766-7597
Mailing address
7777 HENNESSY BLVD, SUITE 4000, BATON ROUGE, LA 70808-4300
(225) 766-7441
(225) 766-7597
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
020931
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1677647
—
LA
01
—
180037835
RAILROAD MEDICARE
LA
Enumeration date
05/12/2006
Last updated
05/22/2008
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