Individual provider · Type 1 NPI
Mallory Noelle Luckey, MD
Neurology Physician · Banner Elk, NC
NPI number
1770932170
Active
Practice location
640 Puddingstone Pkwy
Banner Elk, NC 28604-7418
Fax (864) 778-8417
Other practice locations
- 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966-1206 · (239) 208-2212
- 2790 Clay Edwards Dr Ste 1235, North Kansas City, MO 64116-3276 · (816) 472-5157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician | 2084N0400X | 2022-01271 (NC) |
| Neurology Physician | 2084N0400X | ME159060 (FL) |
| Neurology Physician | 2084N0400X | 2023006973 (MO) |
| Neurology Physician | 2084N0400X | MD214178 (OR) |
| Internal Medicine Physician | 207R00000X | LL39661 (SC) |
| Neurology Physician Primary | 2084N0400X | 302609 (NY) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
About NPI 1770932170
Mallory Noelle Luckey, MD's National Provider Identifier is 1770932170, issued on Jun 7, 2016. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Banner Elk, NC. The record was last updated on Apr 4, 2024.