Rajcomarie Luckram

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

6906517 Issued in FL

Legal business name

RAJCOMARIE LUCKRAM

Practice address

3166 Marine Ter
Punta Gorda, FL 33983-3422

Phone

(941) 743-6276

NPI assigned

May 17, 2013

Organization subpart

No

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

Authorized official

Name

Miss Rajcomarie Luckram

Title

Owner /Caregaver

Phone

(941) 743-6276

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1154767127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 MARINE TER",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339833422",
            "telephone_number": "941-743-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 MARINE TER",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339833422",
            "telephone_number": "941-743-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJCOMARIE LUCKRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "LUCKRAM",
        "authorized_official_first_name": "RAJCOMARIE",
        "authorized_official_title_or_position": "OWNER /CAREGAVER",
        "authorized_official_telephone_number": "941-743-6276",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": "6906517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Public Health or Welfare Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.