Individual
JACOB LUIKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 S 28TH ST # T, LINCOLN, NE 68510-3203
(712) 898-9641
Mailing address
912 S 28TH ST # T, LINCOLN, NE 68510-3203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NE
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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