Individual
CAROLYN LUCKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 LA RUE DR, HUNTINGTON, NY 11743-2501
(631) 455-5507
Mailing address
57 LA RUE DR, HUNTINGTON, NY 11743-2501
(631) 455-5507
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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