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

Mr. Timothy Pryor Luckett, REGISTEREDNURSE

Individual provider Registered Nurse First Assistant · NPI 1629266028

Mr. Timothy Pryor Luckett, REGISTEREDNURSE is a Registered Nurse First Assistant in Rancho Cucamonga, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

14171 Shepherd Dr
Rancho Cucamonga, CA 91739-2215
Phone: (909) 268-2126
Fax: (909) 899-8850
Show map & directions

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

Specialties & licences

Registered Nurse First Assistant (primary) Taxonomy 163WR0006X · Licence RN290090 (CA)

Record details

NPI number1629266028
Entity typeIndividual (Type 1)
GenderMale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedOctober 10, 2007
Last updated in NPPESOctober 10, 2007