Doctor Name: | MR. JERRY L LUKER |
NPI Number: | 1811100357 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 35 |
Business Practice Address: | 406 W 26th St Ste A North Little Rock, AR - 721142158 |
Business Phone Number: | 5017581017 |
Business Fax Number: | 5017581031 |
Mailing Address: | 406 W. 26th St Ste. A, NORTH LITTLE ROCK |
State: | AR |
Postal Code: | 72114 |
Phone Number: | 5017581017 |
Fax Number: | 5017581031 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |