Individual
DR. MICHAEL LUCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD451663
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102943199
—
PA
Enumeration date
06/03/2009
Last updated
10/12/2020
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