MR. JOHN LUCKASEN, M.D.

Dermatology

Active Individual
NPI: 1114921525

Practice Address

4242 FARNAM ST
STE 360
Omaha, NE 68131

Phone: (402) 552-2555

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes 12194 (NE)

Frequently Asked Questions

NPI 1114921525 is the National Provider Identifier for MR. JOHN LUCKASEN, M.D., a Dermatology provider located in Omaha, NE. This NPI was enumerated on June 13, 2005.
MR. JOHN LUCKASEN, M.D. practices at 4242 FARNAM ST, STE 360, Omaha, NE 68131.

Quick Facts

NPI
1114921525
Type
Individual
Enumerated
Jun 13, 2005
Last Updated
Jul 9, 2007

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