Individual
MARGO LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
332 W BROADWAY STE 810, LOUISVILLE, KY 40202-2133
(502) 583-0909
(502) 583-0913
Mailing address
332 W BROADWAY STE 810, LOUISVILLE, KY 40202-2133
(502) 583-0909
(502) 583-0913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1086109
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1086109
KY BOARD OF NURSING
KY
Enumeration date
04/19/2007
Last updated
07/08/2007
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