Individual
LAURA JEAN LUCKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
815 W 5TH NORTH ST, MORRISTOWN, TN 37814-3810
(423) 586-5032
(423) 581-8473
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN160342
TN
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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