Individual
DR. BRIAN J LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
322 EDWARD ST, HENRY, IL 61537-1502
(309) 364-3398
(309) 364-2059
Mailing address
PO BOX 157, HENRY, IL 61537-0157
(309) 364-3398
(309) 364-2059
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011799
IL
Other
Enumeration date
11/11/2010
Last updated
12/22/2011
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