Individual
DR. MARGARITA LUCKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(414) 352-3100
Mailing address
196 COBBLESTONE DR, MADISON, MS 39110-9100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35434
MS
208000000X
Pediatrics Physician
69485
WI
208000000X
Pediatrics Physician
V1172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080450
—
WI
Enumeration date
07/17/2015
Last updated
07/07/2025
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