Provider Demographics
NPI:1528211984
Name:LUCKING, VALERIE ANN (RDCS)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ANN
Last Name:LUCKING
Suffix:
Gender:F
Credentials:RDCS
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ANN
Other - Last Name:HITCHINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6202 FREEDOM HILL WAY
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-6987
Mailing Address - Country:US
Mailing Address - Phone:801-253-6452
Mailing Address - Fax:801-253-5114
Practice Address - Street 1:6202 FREEDOM HILL WAY
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-6987
Practice Address - Country:US
Practice Address - Phone:801-253-6452
Practice Address - Fax:801-253-5114
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography