Lucky Spine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LUCKY SPINE LLC

Practice address

771 Corporate Dr Ste 600
Lexington, KY 40503-5414

Phone

(786) 337-1997

NPI assigned

May 12, 2025

Last updated

May 12, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Luis Manuel Rivero

Title

Director

Phone

(786) 337-1997

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1063202935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 CORPORATE DR STE 600",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035414",
            "telephone_number": "786-337-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 CORPORATE DR STE 600",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035414",
            "telephone_number": "786-337-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "RIVERO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-337-1997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Marie Luciano, PT, MHS
• Maria Elaine Luciano, OTD/L
• Lucid Diagnostics Labs LLC (SV Diagnostics Lab)
• Michael Ray Luckenbill, TRADPSS/APSS/CSA
• Matthew Ryan Luckett, M.D.
• Lucy Bailey Counseling LCSW PLLC (Lumina Counseling)
• Mary Elizabeth Ludt
• John Richard Ludtke, MD
• Alexis Inge Luedke, MD
• Elizabeth G Lueking

• Clinic/Center in Lexington, KY
• Providers in Lexington, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.