John Jason Luckey M.D.

NPI 1629230768 - Family Medicine - 207Q00000X

NPI Details
NPI 1629230768
Gender Male
Enumeration Date 06/30/2008
Last Updated 07/03/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
101 E MILLER RD
STERLING IL, 61081-1252, US
Phone (815) 625-4790
Fax
Business Location
101 E MILLER RD
STERLING IL, 61081-1252, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 125051295
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According to our database, Dr. John Jason Luckey M.D. NPI is 1629230768, taxonomy code is 207Q00000X and license number is 125051295, license state is located at Illinois. John Jason Luckey M.D. physically located at 101 E Miller Rd, Sterling IL, 61081-1252. NPI Number John Jason Luckey M.D. has the Individual type.

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1629230768 NPI number is provided on an as is basis without warranty of any kind. 1629230768 is maintained by the National Plan & Provider Enumeration System. The contents of John Jason Luckey M.D. are for informational purposes only.