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Individual
LUKE J LAURICH
Active
Individual
LUKE J LAURICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12422
GA
363A00000X
Physician Assistant
Primary
12422
GA
Other
Enumeration date
03/05/2024
Last updated
08/15/2024
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