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Individual

MINETTE CRUZ LUKBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD150839
OR
207R00000X
Internal Medicine Physician
MD60693541
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518287739
WA
Enumeration date
06/10/2010
Last updated
05/16/2025
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