Individual
DR. JENNIFER D LUCKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1016 16TH ST NW BSMT LL, WASHINGTON, DC 20036-5729
(301) 215-7100
(202) 452-1415
Mailing address
7910 RICHMOND HWY, ALEXANDRIA, VA 22306-7826
(703) 780-7324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002458
VA
152W00000X
Optometrist
Primary
OP1000339
DC
152W00000X
Optometrist
TA2561
MD
Other
Enumeration date
11/25/2015
Last updated
07/21/2022
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