Individual
MS. CATHERINE LUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6674
(817) 442-0222
Mailing address
2425 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6674
(817) 442-0222
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17444000X
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/21/2011
Last updated
12/21/2011
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