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Contact Information

CAROL R LUCKEY, NP
120 E CHURCH ST
LEXINGTON, TN38351
 Phone: 731-968-0146
 Fax: 731-968-9398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CAROL R LUCKEY · (Female)

NPI # 1003858150
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 06/12/2006
Last updated 10/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TN License # APN0000005691
  • TN License # APN5691
  • TN Medicaid 3900686
  • TN Medicaid 39006861
  • Other 4157526 BLUE CROSS BLUE SHIELD TN
  • TN Other 4083540 BLUE CROSS BLUE SHIELD TN
  • TN Other 0000000031363 MEMPHIS MANAGED CARE (TLC
  • TN Other 4083540 TN CARE SELECT
  • TN Other 156102 UNISON
Hospital affiliation(s) Not Available
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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