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Individual

JESSE ALAN LUCHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1510 ROUTE 61 HWY S, POTTSVILLE, PA 17901-8409
(570) 622-0590
(570) 622-0370
Mailing address
1510 ROUTE 61 HWY S, POTTSVILLE, PA 17901-8409
(570) 622-0590
(570) 622-0370

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
FO3055
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1720057581
BUSINESS
PA
Enumeration date
01/24/2020
Last updated
01/24/2020
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