Luca Lackore, PAC

NPI #1003435785 in North Richland Hills, Texas

Provider Information

NPI Number: 1003435785
Entity Type: Individual
Name: Luca Lackore, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Apr 13, 2020
Last Updated: Apr 13, 2020

Practice Location

Address: 4401 BOOTH CALLOWAY RD
City: North Richland Hills
State: Texas
ZIP Code: 76180-7371
Phone: (817) 255-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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