Individual
JEAN-PAUL C. LUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS015781
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
25MB10306200
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
53143
CT
Other
Enumeration date
06/30/2010
Last updated
01/27/2026
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