Individual
CHANCE M. LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(888) 882-3990
(434) 243-6499
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
0101257446
VA
207ZC0006X
Clinical Pathology Physician
Primary
0101257446
VA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
0101257446
VA
Other
Enumeration date
12/28/2006
Last updated
07/01/2019
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