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Dr. Dominique Lanelle Luckey, MD
Obstetrics Physician in Los Angeles, California
NPI 1326033804

Dominique Lanelle Luckey is a Obstetrics Physician based in Los Angeles, CA and is specialized in Obstetrics. Dominique Lanelle Luckey practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Dominique Lanelle Luckey is 1326033804 and holds a License No. A69874 (California).

The current practice location address for Dominique Lanelle Luckey is 1701 E Cesar Chavez Ave, Los Angeles, CA and can be reached out via phone at 323-317-9200 and via fax at 323-317-9206.

Location: 1701 E Cesar Chavez Ave, Los Angeles, CA, 90042-2634
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Provider Profile Details
NPI Number
1326033804
Provider Name
Dominique Lanelle Luckey
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1701 E Cesar Chavez Ave, Los Angeles, CA, 90042-2634
Phone Number
323-317-9200
Fax Number
323-317-9206
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A698740 01 CA BLUE SHIELD
00A698740 05 CA
P00384423 01 GA MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1701 E Cesar Chavez Ave
City
State
Zip
90033-2464
Phone Number
323-317-9200
Fax Number
323-317-9206
person
Provider Business Mailing Address Details
Address
1701 E Cesar Chavez Ave
City
State
Zip
90033-2464
Phone Number
323-317-9200
Fax Number
323-317-9206
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
A69874 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
License No.
A69874 (California)
Definition
Definition to come...
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