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Individual
KARL J LUKETIC
Active
Individual
KARL J LUKETIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35064065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127263
ANTHEM
—
01
—
0005908039
AETNA
—
05
—
0161435
—
OH
01
—
03297
PARAMOUNT
—
01
—
1451754
UNITED HEALTHCARE
—
01
—
180035529
RAILROAD MEDICARE
OH
Enumeration date
06/14/2005
Last updated
04/14/2015
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