Organization
LUCE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB ALLEN LUCE D.C. (PRESIDENT)
(801) 254-1811
Entity
Organization
Contact information
Practice address
3630 W SOUTH JORDAN PKWY, STE. 102, SOUTH JORDAN, UT 84095-7153
(801) 254-1811
Mailing address
3630 W SOUTH JORDAN PKWY, STE. 102, SOUTH JORDAN, UT 84095-7153
(801) 254-1811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71998841202
UTAH STATE CHIROPRACTIC LICENSE NUMBER
UT
Enumeration date
05/11/2010
Last updated
08/17/2010
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