Organization
FALLS CITY LIMB & BRACE CO INC
Active
Other names
Louisville Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R WAYNE LUCKETT CP (CERTIFIED PROSTHETIST/ MANAGER)
(502) 584-2959
Entity
Organization
Contact information
Practice address
742 EAST BROADWAY, LOUISVILLE, KY 40202
(502) 584-2959
(502) 582-6305
Mailing address
742 EAST BROADWAY, LOUISVILLE, KY 40202
(502) 584-2959
(502) 582-6305
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000066275
ANTHEM BCBS
—
01
—
048291
SIHO
—
01
—
100298
COMMONWEALTH ADMIN LLC
—
01
—
57255
ABP ADMINISTRATION
—
01
—
8200186
UNITED HEALTH CARE
—
05
—
90130568
—
KY
01
—
D0137620001
UNITED AMERICAN
—
01
—
V603P3355
VETERANS ADMINISTRATION
—
Enumeration date
01/03/2006
Last updated
05/21/2025
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