Individual
MR. WALI KHATEEB SHAKOOR-LUQMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1513 ROOSEVELT AVE, RACINE, WI 53406-4572
(262) 632-1113
(262) 632-1113
Mailing address
1513 ROOSEVELT AVE, RACINE, WI 53406-4572
(262) 632-1113
(262) 632-1113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
145431-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38252200
—
WI
Enumeration date
06/13/2008
Last updated
06/13/2008
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