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Individual
MRS. MARINA D LUKBAN
Active
Individual
MRS. MARINA D LUKBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.ED.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
809457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0543254
DOE EMPLOYEE NUMBER
NY
01
—
273442291
DRIVER'S LICENSE
NY
Enumeration date
06/25/2012
Last updated
06/25/2012
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