Individual
STEPHANIE ANNE MASUCK LUKAS
Active
Individual
STEPHANIE ANNE MASUCK LUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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