Individual
JAMES STEPHEN LUCKOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
105 FILER AVENUE, TWIN FALLS, ID 83301
(208) 733-0522
(208) 733-0522
Mailing address
PO BOX #1765, TWIN FALLS, ID 83303-1765
(208) 733-0522
(208) 733-0522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA498
ID
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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