| Doctor Name: | MISS LUCKNIE OVINCY |
| NPI Number: | 1013352558 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 25MP00297800 |
| Business Practice Address: | 50 Newark Ave Belleville, NJ - 071091185 |
| Business Phone Number: | 9737512060 |
| Business Fax Number: | |
| Mailing Address: | 245 S Burnett St, EAST ORANGE |
| State: | NJ |
| Postal Code: | 070182502 |
| Phone Number: | 8624527882 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2013 |
| NPI Last Update Date: | 05/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 25MP00297800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |