Luckett, Timothy Pryor

Luckett, Timothy Pryor is an sole proprietor health care provider with primary practice located at 14171 Shepherd Dr , Rancho Cucamonga CA 91739-2215. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Luckett, Timothy Pryor can be contacted via phone (909) 268-2126.

Contact Information

Primary practice address
14171 Shepherd Dr Rancho Cucamonga CA 91739-2215
Phone: (909) 268-2126
Fax: (909) 899-8850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN290090 California

Profile Details

NPI number 1629266028
LBN Legal business name Luckett, Timothy Pryor
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 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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