MARY LUCKASEN

JBSA FT SAM HOUSTON, TX
NPI1366199754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CO  DR.0071968)
Enumeration Date2022-03-04
Last Update Date2026-06-18
Business Address
MARY LUCKASEN
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-5910
Mailing Address
MARY LUCKASEN
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-5910
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