Doctor Name: | MRS. VALERIE ANN LUCKING |
NPI Number: | 1528211984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDCS |
License Number: | |
Business Practice Address: | 6202 Freedom Hill Way Herriman, UT - 840966987 |
Business Phone Number: | 8012536452 |
Business Fax Number: | 8012535114 |
Mailing Address: | 6202 Freedom Hill Way, HERRIMAN |
State: | UT |
Postal Code: | 840966987 |
Phone Number: | 8012536452 |
Fax Number: | 8012535114 |
NPI Enumeration Date: | 10/29/2008 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |