Individual
LUDY LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
407 EAST MAPLE STREET, SUITE 101, CUMMING, GA 30040
(770) 888-6697
(770) 888-6698
Mailing address
407 EAST MAPLE STREET, SUITE 101, CUMMING, GA 30040
(770) 888-6697
(770) 888-6698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
070217
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137069A
—
GA
Enumeration date
03/01/2009
Last updated
01/22/2014
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