Gary J Luckasen M.D.

NPI 1063418572 - Internal Medicine - 207RC0000X

NPI Details
NPI 1063418572
Gender Male
Enumeration Date 06/21/2005
Last Updated 06/12/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
2121 E HARMONY RD
UNIT 100
FORT COLLINS CO, 80528-3401, US
Phone (970) 221-1000
Fax (970) 297-6860
Business Location
2121 E HARMONY RD
SUITE 100
FORT COLLINS CO, 80528-3400, US
Phone (970) 221-1000
Fax (970) 297-6860
Toxanomy
Taxonomy Code 207RC0000X
License State Nebraska
License Number 19652
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According to our database, Dr. Gary J Luckasen M.D. NPI is 1063418572, taxonomy code is 207RC0000X and license number is 19652, license state is located at Nebraska. Gary J Luckasen M.D. physically located at 2121 E Harmony Rd, Fort Collins CO, 80528-3401. NPI Number Gary J Luckasen M.D. has the Individual type.

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1063418572 NPI number is provided on an as is basis without warranty of any kind. 1063418572 is maintained by the National Plan & Provider Enumeration System. The contents of Gary J Luckasen M.D. are for informational purposes only.