Individual
JULIE H LUKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-0477
Mailing address
PO BOX 8004, WAUSAU, WI 54402-8004
(715) 847-2304
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29368
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31425000
—
WI
Enumeration date
09/30/2006
Last updated
05/23/2008
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