Individual
JOHN BENJAMIN LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6439
(559) 499-6441
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6443
(559) 499-6441
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A130277
CA
Other
Enumeration date
06/22/2011
Last updated
07/15/2014
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