Individual provider · Type 1 NPI
Maryellen Luckman
General Practice Registered Nurse · Buffalo, NY
NPI number
1497334270
Active
Practice location
255 Delaware Ave Fl 4
Buffalo, NY 14202-2016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 621275 (NY) |
General Practice Registered Nurse: Definition to come...
3 other providers at this address
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About NPI 1497334270
Maryellen Luckman's National Provider Identifier is 1497334270, issued on Apr 7, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Buffalo, NY. The record was last updated on Apr 7, 2021.