Individual
DR. JEFFREY JOE LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(253) 583-1202
(253) 583-1199
Mailing address
21723 63RD AVENUE CT E, SPANAWAY, WA 98387-5883
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PL00000819
WA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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