MR. John R Luckasen, M.D.

NPI #1114921525 in Omaha, Nebraska

Provider Information

NPI Number: 1114921525
Entity Type: Individual
Name: MR. John R Luckasen, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Jun 13, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 4242 FARNAM ST
Address 2: STE 360
City: Omaha
State: Nebraska
ZIP Code: 68131-2850
Phone: (402) 552-2555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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