Provider Demographics
NPI:1780883033
Name:LUKER CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:LUKER CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CODY
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:LUKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-286-2729
Mailing Address - Street 1:2518 E. KENOSHA ST.
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74014
Mailing Address - Country:US
Mailing Address - Phone:918-286-2729
Mailing Address - Fax:918-286-0651
Practice Address - Street 1:2518 E. KENOSHA ST.
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74014
Practice Address - Country:US
Practice Address - Phone:918-286-2729
Practice Address - Fax:918-286-0651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3786111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty