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Individual

DR. JONATHAN P LUSCOMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
100 MILK STREET, SUITE 8, METHUEN, MA 01844-4600
(978) 984-6636
(978) 984-6494
Mailing address
100 MILK ST STE 8, METHUEN, MA 01844-4600
(978) 984-6636
(978) 984-6494

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
270-0687B
NH
111N00000X
Chiropractor
718
MA
111N00000X
Chiropractor
Primary
CHI718
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0508330YOMA01
ANTHEM BCBS
NH
05
1613294
MA
01
351388
HARVARD PILGRIM
MA
01
731869
TUFTS
MA
01
Y35497
BLUECROSSBLUESHIELD PROVI
MA
01
Y39435
BLUECROSSBS GROUP ID
MA
Enumeration date
08/11/2006
Last updated
08/04/2025
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