Individual
JOHN LUCHANSKY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
805 AIRPORT WAY, FAIRBANKS, AK 99701-6039
(907) 456-8901
(907) 452-5171
Mailing address
805 AIRPORT WAY, FAIRBANKS, AK 99701-6039
(907) 456-8901
(907) 452-5171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17642
AK
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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