All Medicaid billing entities listing LUCKY, DELORES (NURSE PRACTITIONER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| West Virginia | 1 | $98K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SUMMERSVILLE SKIN CARE CENTER INC | SUMMERSVILLE, WV | Nurse Practitioner | $98K |