Individual
BIJU LUCKOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
4576 EMERALD VIS, APT K2007, LAKE WORTH, FL 33461-5213
(561) 891-2255
(561) 641-8317
Mailing address
4576 EMERALD VIS, APT K2007, LAKE WORTH, FL 33461-5213
(561) 891-2255
(561) 641-8317
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT10678
FL
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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