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NPI Code Detail

MEDICARE: LUKKEN CHIROPRACTIC CENTER INC

MEDICARE: LUKKEN CHIROPRACTIC CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1538494174
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUKKEN CHIROPRACTIC CENTER INC
Provider Business Mailing Address
First Line : PO BOX 31116
Second Line :
City : PHOENIX
State : AZ
Zip : 85046-1116
Country : US
Telephone Number : 602-971-3050
Fax Number :
Provider Business Practice Location Address
First Line : 12450 N 32ND ST STE 3
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-7160
Country : US
Telephone Number : 602-971-3050
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEVEN P LUKKEN
Credential : DC
Telephone Number : 602-971-3050
Provider Enumeration Date : 10/15/2009
Last Update Date : 05/03/2012

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Directions to “LUKKEN CHIROPRACTIC CENTER INC ” Practice Location

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