Individual
DR. EUGENE FREDDIE LUCKSTEAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6104 AVENUE Q SOUTH DR, LUBBOCK, TX 79412-3700
(806) 472-3430
Mailing address
6104 AVENUE Q SOUTH DR, LUBBOCK, TX 79412-3700
(806) 472-3430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J7057
TX
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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