Individual
CASEY M LUCKHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2800
Mailing address
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114
(617) 726-2800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L-263832
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274504
MEDICAL LICENSE
MA
Enumeration date
06/11/2015
Last updated
05/19/2022
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