Individual
DR. ANDREW EDWARD LUCKEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3580 E IMPERIAL HWY, LYNWOOD, CA 90262-2602
(310) 637-8115
(310) 900-8828
Mailing address
3580 E IMPERIAL HWY, LYNWOOD, CA 90262-2602
(310) 637-8115
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C34426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C34426
MEDICAL LICENSE
CA
Enumeration date
02/20/2007
Last updated
09/13/2012
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