Individual
MRS. DEVAN PEARL HAULK LUCKABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1720 S VIRGINIA ST, HOPKINSVILLE, KY 42240-3684
(270) 886-8468
(270) 886-8472
Mailing address
PO BOX 1002, HOPKINSVILLE, KY 42241-1002
(270) 886-8468
(270) 886-8472
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
100797
KY
237700000X
Hearing Instrument Specialist
101876
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100285510
—
KY
Enumeration date
09/16/2010
Last updated
01/27/2022
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