Whalio Doctors

NPI 1114921525

John R Luckasen, MD

Practitioner Dermatology Physician Omaha, NE

Practice location

Address
4242 Farnam St STE 360, Omaha, NE 68131-2850
Phone
(402) 552-2555
Fax
(402) 552-2573

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 12194 (NE)

Registry record

NPI
1114921525
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jun 2005
Record last updated
13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.