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Individual

DRAGOS C LUCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2525 CHICAGO AVE SOUTH, CHILDRENS HOSPITALS AND CLINICS PATHOLOGY MPLS, MINNEAPOLIS, MN 55404
(612) 813-6280
(612) 813-6951
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
49092
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
49092
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD18279
RI
207ZP0213X
Pediatric Pathology Physician
49092
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34899100
WI
Enumeration date
11/07/2006
Last updated
03/29/2024
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