Individual
ERICKA C LUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2200 NE NEFF RD, SUITE 200, BEND, OR 97701-4281
(541) 382-3344
(541) 382-1681
Mailing address
2041 NE WILLIAMSON CT, STE B, BEND, OR 97701-3941
(541) 382-3344
(541) 382-1681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00979
OR
Other
Enumeration date
07/05/2005
Last updated
08/18/2017
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