Individual
DR. LAURA J LUCKADOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1455 25TH AVENUE DR NE, HICKORY, NC 28601-9677
(828) 322-4453
(828) 324-9295
Mailing address
1455 25TH AVE DR NE, HICKORY, NC 28601-9655
(828) 322-4453
(828) 324-9295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
96-00235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8953178
—
NC
Enumeration date
09/09/2005
Last updated
06/03/2011
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