Individual
DR. REBECCA F LUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
615 E APPLEBY RD, FAYETTEVILLE, AR 72703-3914
(479) 521-3310
(479) 521-9850
Mailing address
615 E APPLEBY RD, FAYETTEVILLE, AR 72703-3914
(479) 521-3310
(479) 521-9850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3139
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T027
BC/
AR
01
—
866764
UNITED CONCORDIA
AR
Enumeration date
10/12/2006
Last updated
07/08/2007
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