Individual
DANIEL J LUCCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3190 N SWAN RD, TUCSON, AZ 85712-1227
(520) 547-9700
(520) 547-9719
Mailing address
5055 E BROADWAY BLVD STE A100, TUCSON, AZ 85711-3629
(520) 382-1205
(520) 795-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65915
AZ
207Q00000X
Family Medicine Physician
R77285
AZ
Other
Enumeration date
04/05/2019
Last updated
06/10/2022
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