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

Lucny Louis

Individual provider Physical Therapy Assistant · NPI 1407410772

Lucny Louis is a Physician Assistant in Lakeland, Florida. Graduated from Medical University of South Carolina College of Medicine in 2025, 1 year ago. Practices with Suncoast Community Health Centers Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Trained at
Medical University of South Carolina College of Medicine
Licensed in
FL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1729 Lakeland Hills Blvd
Lakeland, FL 33805-3016
Phone: (863) 940-2908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9121051 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA25948 (FL)

Record details

NPI number1407410772
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address1729 Lakeland Hills Blvd, Lakeland, FL 33805-3016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Suncoast Community Health Centers Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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