Individual
DR. LORI RENEE LUCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ERIE AVE AT FRONT ST, DEPARTMENT OF HEMATOLOGY, PHILADELPHIA, PA 19134-1095
(215) 427-5096
(215) 427-6684
Mailing address
ERIE AVE AT FRONT ST, DEPARTMENT OF HEMATOLOGY, PHILADELPHIA, PA 19134-1095
(215) 427-5096
(215) 427-6684
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD424511
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010867820001
—
PA
Enumeration date
05/27/2006
Last updated
07/08/2007
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