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Dr. Andrew Luckey III, MD
Specialist in Simi Valley, California
NPI 1568516086

Andrew Luckey III is a Specialist based in Simi Valley, CA. Andrew Luckey III practices in Simi Valley, CA and has the professional credentials of MD. The NPI Number for Andrew Luckey III is 1568516086 and holds a License No. A69654 (California).

The current practice location address for Andrew Luckey III is 2650 Jones Way, Simi Valley, CA and can be reached out via phone at 805-577-7977 and via fax at 805-577-0745.

Location: 2650 Jones Way, Simi Valley, CA, 93065-3157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568516086
Provider Name
Andrew Luckey III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2650 Jones Way, Simi Valley, CA, 93065-3157
Phone Number
805-577-7977
Fax Number
805-577-0745
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A69654 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2650 Jones Way
City
Simi Valley
State
California
Zip
93065-1203
Phone Number
805-577-7977
Fax Number
805-577-0745
person
Provider Business Mailing Address Details
Address
2650 Jones Way
City
Simi Valley
State
California
Zip
93065-1203
Phone Number
805-577-7977
Fax Number
805-577-0745
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A69654 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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