Active NPIIndividual provider

Jean-Paul C Lucke, DO

Family Medicine, Sports Medicine in Fairfield, Connecticut

NPI Number1396056834
Practice location
305 Black Rock Tpke, Fairfield, CT 06825-5508
Fax
203-337-2666
Last updated
January 27, 2026

Jean-Paul C. Lucke is a Family Medicine, Sports Medicine based in Fairfield, CT. Jean-Paul C. Lucke practices in Fairfield, CT and has the professional credentials of DO. The NPI Number for Jean-Paul C. Lucke is 1396056834 and holds a License No. 25MB10306200 (NJ). The current practice location address for Jean-Paul C. Lucke is 305 Black Rock Tpke, Fairfield, CT 06825-5508 and can be reached out via phone at 203-337-2600 and via fax at 203-337-2666.

Provider Profile Details

NPI Number
1396056834
Provider Name
Jean-Paul C. Lucke
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
305 Black Rock Tpke, Fairfield, CT 06825-5508
Phone Number
203-337-2600
Fax Number
203-337-2666
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2010
Last Update Date
January 27, 2026
Certification Date
January 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
305 Black Rock Tpke
Fairfield, CT 06825-5508
Zip
06825-5508
Phone Number
203-337-2600
Fax Number
203-337-2666
Fairfield, CT 06825Get directions →

Provider Business Mailing Address Details

Address
305 Black Rock Tpke
Fairfield, CT 06825-5508
City
Fairfield
State
CT
Zip
06825-5508
Phone Number
203-337-2600
Fax Number
203-337-2666

License Information

License Number (1)
25MB10306200
License State (1)
NJ
Taxonomy (1)
Family Medicine, Sports Medicine · 207QS0010X
License Number (2)
OS015781
License State (2)
PA
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
53143
License State (3)
CT
Taxonomy (3)
Family Medicine, Sports Medicine · 207QS0010X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Family Medicine, Sports Medicine providers near Fairfield, CT

View all Family Medicine, Sports Medicine providers in Fairfield →

Frequently Asked Questions

What is the NPI number of Jean-Paul C Lucke, DO?

The NPI number of Jean-Paul C Lucke, DO is 1396056834. It was assigned on June 30, 2010 and is currently active in the NPPES registry.

What is the specialty of Jean-Paul C Lucke, DO?

Jean-Paul C Lucke, DO is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in NJ under license number 25MB10306200.

Where does Jean-Paul C Lucke, DO practice?

The practice location is 305 Black Rock Tpke, Fairfield, CT 06825-5508. The office can be reached at 203-337-2600 (phone) or 203-337-2666 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396056834 directly on the NPPES registry website.

Browse related providers