Luck, Lori Renee

Luck, Lori Renee is an individual health care provider with primary practice located at Erie Ave At Front St Department Of Hematology, Philadelphia PA 19134-1095. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Luck, Lori Renee can be contacted via phone (215) 427-5096.

Contact Information

Primary practice address
Erie Ave At Front St Department Of Hematology Philadelphia PA 19134-1095
Phone: (215) 427-5096
Fax: (215) 427-6684
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD424511 Pennsylvania

Profile Details

NPI number 1841247756
LBN Legal business name Luck, Lori Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841247756 NPPES
Pennsylvania MEDICAID 1010867820001

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