Individual provider · Type 1 NPI

Luckner Isme I

Driver · Bonita Springs, FL

NPI number 1619672011 Active

Practice location

26736 Saville Ave
Bonita Springs, FL 34135-6339

Call (239) 213-8179 Map

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XNone listed
Driver Primary 172A00000XI250520832670 (FL)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1619672011

Luckner Isme I's National Provider Identifier is 1619672011, issued on Apr 4, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bonita Springs, FL. The record was last updated on Apr 4, 2023.