Individual
VAL LUCKYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 E BROADWAY STE 120, LOUISVILLE, KY 40202-1745
(502) 708-1599
(502) 708-1599
Mailing address
310 E BROADWAY STE 120, LOUISVILLE, KY 40202-1745
(502) 708-1599
(502) 708-1599
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
03/18/2020
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