| Rebecca F. Lucke, Dds,pa | |
|
615 E Appleby Rd Fayetteville AR 72703-3914 | |
| (479) 582-1312 | |
| (479) 582-1355 |
| Full Name | Rebecca F. Lucke, Dds,pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 615 E Appleby Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Rebecca F Lucke (OWNER) |
| Authorized Official Contact | 4795821312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca F. Lucke, Dds,pa 615 E Appleby Rd Fayetteville AR 72703-3914 Ph: (479) 582-1312 | Rebecca F. Lucke, Dds,pa 615 E Appleby Rd Fayetteville AR 72703-3914 Ph: (479) 582-1312 |
| NPI Number | 1871682500 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871682500 | NPI | - | NPPES |
| 5F476 | Other | AR | ABCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3139 (Arkansas) | Primary |
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