Individual provider · Type 1 NPI

Susan Eileen McLuckie, PA

Physician Assistant · Philadelphia, PA

NPI number 1710930797 Active

Practice location

501 S 54th St
Philadelphia, PA 19143-1900

Mailing address

634 Amosland Rd
Morton, PA 19070-1304

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA003222L (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1710930797

Susan Eileen McLuckie, PA's National Provider Identifier is 1710930797, issued on May 18, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 13, 2026.