Individual
JAY R. LUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 CAMPUS COMMONS DR STE 100, RESTON, VA 20191-1535
(301) 254-8583
Mailing address
1900 CAMPUS COMMONS DR STE 100, RESTON, VA 20191-1535
(301) 254-8583
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001134
VA
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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