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Individual
DR. WADE LUKKEN
Active
Individual
DR. WADE LUKKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
7029
SD
207LP2900X
Pain Medicine (Anesthesiology) Physician
7029
SD
Other
Enumeration date
03/30/2007
Last updated
12/07/2017
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