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NPI Code Detail

MEDICARE: MARGARET ALICE LUCKERT APRN

MEDICARE: MARGARET ALICE LUCKERT APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner2017010505MS
2363LA2200XAdult Health Nurse Practitioner2017010505MO
3363LG0600XGerontology Nurse Practitioner5377603082KS
4363LA2200XAdult Health Nurse Practitioner5377603082KS

General Provider Information

NPI Number : 1740712223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET ALICE LUCKERT APRN
Provider Business Mailing Address
First Line : 5701 W 119TH STREET SUITE 220
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66209
Country : US
Telephone Number : 913-498-8787
Fax Number :
Provider Business Practice Location Address
First Line : 8929 PARALLEL PKWY
Second Line :
City : KANSAS CITY
State : KS
Zip : 66112-1689
Country : US
Telephone Number : 913-596-4168
Fax Number : 913-596-4650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 04/28/2026

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