Individual
MRS. ALISON L. LUCKEY-PERCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-5501
(860) 679-6700
(860) 679-6706
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-5501
(860) 679-6700
(860) 679-6706
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003782
CT
363LF0000X
Family Nurse Practitioner
003782
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030782
CONNECTICARE
CT
01
—
06-1406459
GREAT WEST HEALTHCARE
CT
01
—
3V4760
HEALTH NET
CT
01
—
400003782CT01
ANTHEM BCBS OF CT
CT
Enumeration date
02/28/2008
Last updated
09/14/2022
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