Individual
CHANCE M. LUCKEY
Active
Individual
CHANCE M. LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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