Individual
GERALD WALTER LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
336 S 9TH ST, DAVID CITY, NE 68632-2116
(402) 367-3193
(402) 367-3261
Mailing address
336 S 9TH ST, DAVID CITY, NE 68632-2116
(402) 367-3193
(402) 367-3261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12692
NE
Other
Enumeration date
06/20/2006
Last updated
06/02/2009
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