Organization
LLA MEDICAL BROKER SOLUTIONS
Active
Other names
LLA Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE K LUCKY II PHD. MHT .CC. CTI (CLINICAL DIRECTOR)
(213) 585-4159
Entity
Organization
Contact information
Practice address
216 LAWTON AVE, SAVANNAH, GA 31404-1231
(213) 585-4159
Mailing address
216 LAWTON AVE, SAVANNAH, GA 31404-1231
(213) 585-4159
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
364SH0200X
Home Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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