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Individual
DR. MENA M LUANGJAMEKORN
Active
Individual
DR. MENA M LUANGJAMEKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.125173
IL
207Q00000X
Family Medicine Physician
4301076196
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802510871
BLUE CROSS BLUE SHIELD
MI
01
—
080D410020
BLUE CROSS BLUE SHIELD
MI
01
—
0998002
0998002
MI
01
—
1010621
HEALTH ADVANTAGE NETWORK
MI
01
—
16492
MCARE
MI
01
—
2014164001
CIGNA
MI
05
—
4591430
—
MI
05
—
4619498
—
MI
05
—
4698830
—
MI
01
—
7450589
AETNA
MI
01
—
I07388
HEALTH ALLIANCE PLAN
MI
Enumeration date
10/19/2005
Last updated
11/13/2012
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