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1003435785
LUCA LACKORE
NORTH RICHLAND HILLS, TX
NPI
1003435785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
LUCA LACKORE PAC
4401 BOOTH CALLOWAY RD
NORTH RICHLAND HILLS, TX 76180-7371
Phone number: 817-255-1000
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Mailing Address
LUCA LACKORE PAC
5732 CARUTH BLVD
DALLAS, TX 75209-3534
Phone number:
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