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1114921525
JOHN R LUCKASEN
OMAHA, NE
NPI
1114921525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: NE 12194)
Enumeration Date
2005-06-13
Last Update Date
2007-07-09
Business Address
Mr. JOHN R LUCKASEN M.D.
4242 FARNAM ST STE 360
OMAHA, NE 68131-2850
Phone number: 402-552-2555
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Mailing Address
Mr. JOHN R LUCKASEN M.D.
4242 FARNAM ST STE 360
OMAHA, NE 68131-2850
Phone number: 402-552-2555
Copy
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