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Individual
DR. JONATHAN LUCKING
Active
Individual
DR. JONATHAN LUCKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036161715
IL
208600000X
Surgery Physician
25MA10294700
NJ
208600000X
Surgery Physician
ME141153
FL
208C00000X
Colon & Rectal Surgery Physician
ME141153
FL
Other
Enumeration date
05/29/2013
Last updated
12/22/2022
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