Individual
JUSTIN L BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5389 W 8TH AVE, LAKEWOOD, CO 80214-2507
(720) 474-4867
Mailing address
5389 W 8TH AVE, LAKEWOOD, CO 80214-2507
(720) 474-4867
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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