Individual
DR. TARA D LUKKARINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
315 PARHAM ST, SUITE B, MUSCATINE, IA 52761-2604
(563) 263-7577
(563) 263-7814
Mailing address
315 PARHAM ST, SUITE B, MUSCATINE, IA 52761-2604
(563) 263-7577
(563) 263-7814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02113
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452417
—
IA
01
—
18994
BLUE CROSS BLUE SHIELD
IA
Enumeration date
04/19/2006
Last updated
11/14/2014
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