Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Paul A Lucky, MD

Individual provider Dermatology Physician · NPI 1720119068

Dr. Paul A Lucky, MD is a Dermatology in Cincinnati, Ohio. Graduated from Yale University School of Medicine in 1972, 54 years ago. Practices with Dermatologists of Southwestern Ohio, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
54
Trained at
Yale University School of Medicine
Licensed in
OH
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10506 Montgomery Rd Ste 402
Cincinnati, OH 45242-4489
Phone: (513) 791-6161
Fax: (513) 791-4085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 35049616 (OH)

Record details

NPI number1720119068
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESJune 8, 2017
Mailing address5300 Far Hills Ave, Dayton, OH 45429-2381

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1972 (54 years in practice)
Group practice Dermatologists Of Southwestern Ohio, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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