Individual
DR. MICHAEL E LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
08/02/2026
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