Individual
MS. CAROLYN M. LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 CIRCLE OF HOPE DR, CLINIC 2D, SALT LAKE CITY, UT 84112-5550
(801) 585-0100
(801) 581-7381
Mailing address
127 S 500 E STE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6705
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220048-4405
UT
Other
Enumeration date
02/11/2009
Last updated
07/21/2022
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