Individual
JAMES L. LAUCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 7TH ST, STE 101, SIOUX CITY, IA 51101-2016
(712) 255-7474
Mailing address
1600 7TH STREET, STE 101, SIOUX CITY, IA 51101
(712) 255-7474
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
02805
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025457900
—
NE
05
—
1104604
—
IA
01
—
28656
WELLMARK BCBS OF IOWA
—
05
—
7767735
—
SD
01
—
P00361007
MEDICARE RAILROAD
—
Enumeration date
03/31/2006
Last updated
09/05/2008
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