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Individual

CHRISTINE V LUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9305 PINECROFT DR, THE WOODLANDS, TX 77380-3223
(281) 943-2790
(281) 210-2858
Mailing address
9305 PINECROFT DR, THE WOODLANDS, TX 77380-3223
(281) 943-2790
(281) 210-2858

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00737
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181765201
TX
Enumeration date
06/15/2006
Last updated
09/02/2009
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