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Individual

STEPHANIE ANNE MASUCK LUKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4205 BEN FRANKLIN BLVD, DURHAM, NC 27704
(919) 477-6900
(919) 620-0974
Mailing address
4205 BEN FRANKLIN BLVD, DURHAM, NC 27704-2143
(919) 477-6900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2019-02500
NC
207R00000X
Internal Medicine Physician
42282
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497140925
MT
01
MED-RES-LIC-42282
STATE OF MONTANA
MT
Enumeration date
04/01/2015
Last updated
11/07/2022
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