Individual
JACQUELINE CLAUDIA LUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2521 COUNTRYSIDE BLVD, CLEARWATER, FL 33763-1605
(727) 797-5008
Mailing address
2521 COUNTRYSIDE BLVD, CLEARWATER, FL 33763-1605
(727) 797-5008
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4496
FL
Other
Enumeration date
04/07/2020
Last updated
06/09/2023
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