Doctor Name: | DR. JOHN ALONZO LUKER |
NPI Number: | 1700890308 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | E2689 |
Business Practice Address: | 4029 S Capital Of Texas Hwy Suite 115 Austin, TX - 787047927 |
Business Phone Number: | 5123261141 |
Business Fax Number: | 5123264444 |
Mailing Address: | 4029 S Capital Of Texas Hwy, Suite 115 AUSTIN |
State: | TX |
Postal Code: | 787047927 |
Phone Number: | 5123261141 |
Fax Number: | 5123264444 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 12/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | E2689 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |