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General NPI Number Information
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NPI Number | 1881146215
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Entity Type | Organization
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Legal Business Name | LUKNER MEDICAL CLINIC PLLC
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Dates
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Enumeration Date | 11/02/2016
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 2545 PERRYTON PKWY STE 31
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City | PAMPA
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State | TX
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Zip | 79065-2820
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Country | US
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Telephone | 806-329-3050
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Fax | 281-605-5697
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Provider Business Mailing Address
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Address Line | 100 W 30TH AVE SUITE 107
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City | PAMPA
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State | TX
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Zip | 79065-2814
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Country | US
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Telephone | 218-324-6299
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Fax | 281-605-5697
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RALF B LUKNER
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Credential | MD PHD
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Telephone | 806-329-3050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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