Individual
LUKE J LAURICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
4720 VERMACK RDG, DUNWOODY, GA 30338-5018
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
12422
GA
363A00000X
Physician Assistant
Primary
12422
GA
Other
Enumeration date
03/05/2024
Last updated
08/15/2024
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