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1811003130
J DONALD LUCKER
MENTOR, OH
NPI
1811003130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OH 35-023870)
Enumeration Date
2006-08-21
Last Update Date
2008-04-04
Business Address
-- J DONALD LUCKER MD
9485 MENTOR AVENUE #101
MENTOR, OH 44060
Phone number: 440-205-5800
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Mailing Address
-- J DONALD LUCKER MD
PO BOX 714328
COLUMBUS, OH 43271-4328
Phone number: 800-354-1985
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