Individual
THOMAS L LUCKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1216 CONSTITUTION AVE, MERIDIAN, MS 39301-4003
(601) 482-2612
Mailing address
1216 CONSTITUTION AVE, MERIDIAN, MS 39301-4003
(601) 482-2612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MS16225
MS
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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