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Individual

MS. AUDREY LUCY LUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM

Contact information

Practice address
16821 NE 6TH AVE, NORTH MIAMI BEACH, FL 33162-2405
(786) 953-6534
Mailing address
16821 NE 6TH AVE, NORTH MIAMI BEACH, FL 33162-2405
(786) 953-6534

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW286
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13782579
CAQH NUMBER
FL
Enumeration date
01/23/2015
Last updated
09/04/2024
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