Provider Demographics
NPI:1801416664
Name:LUCK, DARCY BETTINA (DO)
Entity type:Individual
Prefix:DR
First Name:DARCY
Middle Name:BETTINA
Last Name:LUCK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:BETTINA
Other - Last Name:BARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1441 CONSTITUTION BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-3134
Mailing Address - Country:US
Mailing Address - Phone:831-755-4201
Mailing Address - Fax:
Practice Address - Street 1:1441 CONSTITUTION BLVD STE 300
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3134
Practice Address - Country:US
Practice Address - Phone:831-755-4123
Practice Address - Fax:831-755-4122
Is Sole Proprietor?:No
Enumeration Date:2020-04-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23019390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program