Individual
MR. DAVID WAYNE LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
322 N MAPLE ST, LEBANON, TN 37087
(615) 449-3101
(615) 449-3102
Mailing address
322 N MAPLE ST, LEBANON, TN 37087
(615) 449-3101
(615) 449-3102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30435
TN
Other
Enumeration date
06/13/2006
Last updated
06/12/2008
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