Individual
DR. LUCAS MARIAN KOGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 NE SATURN LN, BREMERTON, WA 98311-7923
(360) 979-3919
Mailing address
315 NE SATURN LN, BREMERTON, WA 98311-7923
(360) 979-3919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ML61480918
WA
Other
Enumeration date
10/07/2022
Last updated
09/06/2023
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