Individual
EDEL LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(469) 733-5701
Mailing address
2512 HIDDEN SPRINGS DR, MESQUITE, TX 75181-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP136762
TX
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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