Individual provider · Type 1 NPI

Dominique Lanelle Luckey, MD

Gynecology Physician · Los Angeles, CA

NPI number 1326033804 Active · reactivated Mar 29, 2006

Practice location

1701 E Cesar Chavez Ave, Suite #402
Los Angeles, CA 90033-2464

Call (323) 317-9200 Map

Fax (323) 317-9206

Mailing address

5823 York Blvd, #1
Los Angeles, CA 90042-2634

Specialties and licenses

TaxonomyCodeLicense
Gynecology Physician Primary 207VG0400XA69874 (CA)
Obstetrics Physician 207VX0000XA69874 (CA)

Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

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About NPI 1326033804

Dominique Lanelle Luckey, MD's National Provider Identifier is 1326033804, issued on Sep 12, 2005. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 18, 2007.