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Derek Lucky
NPI 1467687459 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2831 N White Pines Dr
Coeur D Alene, ID 83815 - Phone
- (208) 640-3538
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Male
- Record last updated
- 2009-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho