Individual
DR. ISHAK LUKAS ENGGANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 620-1468
(662) 844-8298
Mailing address
PO BOX 1507, TUPELO, MS 38802-1507
(662) 620-1468
(662) 844-8298
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10209
MS
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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