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Individual

MRS. CARMEN MARIA LUKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
450 E TRAVIS ST, LA GRANGE, TX 78945-2655
(979) 968-8677
(979) 968-9625
Mailing address
450 E TRAVIS ST, LA GRANGE, TX 78945-2655
(979) 968-8677
(979) 968-9625

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
31918
TX

Other

Enumeration date
03/08/2013
Last updated
03/08/2013
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