Individual
DR. MICHAEL E LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8888
Mailing address
1401 25TH ST S, GREAT FALLS, MT 59405-5183
(406) 731-8888
(406) 731-8888
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6534
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000096780
BLUE CROSS BLUE SHIELD
MT
05
—
0027047
—
MT
01
—
0148586
WASHINGTON L & I
MT
01
—
184609700
FEDERAL WORK COMP
MT
01
—
200039916
RAILROAD MEDICARE
MT
01
—
810347861
CHAMPUS
MT
01
—
810347861010
EBMS
MT
Enumeration date
06/26/2006
Last updated
07/21/2022
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