Individual
DAYNA ROSE LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3000 C G ZINN RD, THORNDALE, PA 19372-1134
(610) 384-9100
(610) 384-3937
Mailing address
3000 C G ZINN RD, THORNDALE, PA 19372-1134
(610) 384-9100
(610) 384-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002511
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12252253
CAQH PROVIDER ID
PA
Enumeration date
07/19/2011
Last updated
06/21/2016
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