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Brianne Marie Luck
Optometric Technician in Jefferson City, Missouri
NPI 1588970479

Brianne Marie Luck is a Optometric Technician based in Jefferson City, MO and is specialized in Optometric Technician. Brianne Marie Luck practices in Jefferson City, MO. The NPI Number for Brianne Marie Luck is 1588970479 and holds a License No. B1775413 (Missouri).

The current practice location address for Brianne Marie Luck is 2813 Kenborg Hls, Jefferson City, MO and can be reached out via phone at 573-353-2760.

Location: 2813 Kenborg Hls, Jefferson City, MO, 65109-1002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588970479
Provider Name
Brianne Marie Luck
Credential
Provider Entity Type
Individual
Gender
Female
Address
2813 Kenborg Hls, Jefferson City, MO, 65109-1002
Phone Number
573-353-2760
Fax Number
Provider Enumeration Date
08/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2813 Kenborg Hls
City
Jefferson City
State
Missouri
Zip
65109-1002
Phone Number
573-353-2760
Fax Number
person
Provider Business Mailing Address Details
Address
2813 Kenborg Hls
City
Jefferson City
State
Missouri
Zip
65109-1002
Phone Number
573-353-2760
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ophthalmic Assistant
Taxonomy
156FX1101X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optometric Technician
Taxonomy
156FX1202X
License No.
B1775413 (Texas)
Definition
Definition to come...
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