NPI 1356980627
Lucky Medical Supply
Practice location
- Address
- 1580 Ocean Ave, Bohemia, NY 11716-1916
- Phone
- (631) 741-1895
- Fax
- (631) 257-5866
Authorised official
- Name
- Lucko Jean
- Title
- Gen Ptr
- Phone
- (631) 741-1895
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1356980627
- Entity type
- Organization
- NPI issued
- 3 Jan 2020
- Record last updated
- 3 Jan 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.