Organization
REBECCA F. LUCKE, DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA F LUCKE DDS (OWNER)
(479) 582-1312
Entity
Organization
Contact information
Practice address
615 E APPLEBY RD, FAYETTEVILLE, AR 72703-3914
(479) 582-1312
(479) 582-1355
Mailing address
615 E APPLEBY RD, FAYETTEVILLE, AR 72703-3914
(479) 582-1312
(479) 582-1355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3139
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F476
ABCBS
AR
Enumeration date
10/12/2006
Last updated
08/12/2013
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