Provider Demographics
NPI:1871879056
Name:LUK, JOAN Y (LAC)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:Y
Last Name:LUK
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8814 LA CARTERA ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-3309
Mailing Address - Country:US
Mailing Address - Phone:858-780-9477
Mailing Address - Fax:858-360-9002
Practice Address - Street 1:7805 HIGHLAND VILLAGE PL
Practice Address - Street 2:G104
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-5181
Practice Address - Country:US
Practice Address - Phone:858-360-9000
Practice Address - Fax:858-536-0900
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA14394171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist