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Contact Information

PAUL A LUCKY, MD
10506 MONTGOMERY RD STE 402
CINCINNATI, OH45242-4489
 Phone: 513-791-6161
 Fax: 513-791-4085
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for PAUL A LUCKY · (Male)

NPI # 1720119068
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2007
Last updated 06/08/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35049616
  • OH Medicaid 0538912
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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