Individual
KRISTOPHER DELL LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 LLOYD RD UNIT 383, WICKLIFFE, OH 44092-8615
(216) 337-3643
Mailing address
1400 LLOYD RD UNIT 383, WICKLIFFE, OH 44092-8615
(216) 337-3643
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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