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1154362564
WAYNE C. LUCKE
VANCOUVER, WA
NPI
1154362564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WA MD00018493)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
WAYNE C. LUCKE MD
2211 NE 139TH ST
VANCOUVER, WA 98686-2742
Phone number: 360-487-1400
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Mailing Address
WAYNE C. LUCKE MD
6312 SW CAPITOL HWY #502
PORTLAND, OR 97239-1938
Phone number: 503-464-9034
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