Luckner Isme I
Driver in Bonita Springs, FL. Individual provider (NPI-1).
NPI number1619672011
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1619672011
- Entity type
- Individual (NPI-1)
- Name
- Luckner Isme I
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2023
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | I250520832670 | FL | Yes |
| 172A00000X | Driver | – | – |
Practice location
26736 Saville AveBonita Springs, FL 34135-6339
Phone 239-213-8179
Mailing address
26736 Saville AveBonita Springs, FL 34135-6339
Phone 239-213-8179
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.