Individual
MINETTE CRUZ LUKBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 SW RAMSEY AVE, C/O HOSPITALIST, GRANTS PASS, OR 97527-5554
(914) 563-5344
Mailing address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
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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