Individual
DR. LORENZO FOSTER LUCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER MCHE-QD/CREDENTIALS, FORT SAM HOUSTON, TX 78234-4501
(210) 916-4342
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3194
AZ
Other
Enumeration date
10/24/2005
Last updated
10/05/2022
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