Individual
LUKAS R KOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
789 CENTRAL AVE, WENTWORTH DOUGLASS HOSPITAL, DOVER, NH 03820-2526
(603) 498-9634
Mailing address
276 WATER ST, NEWBURYPORT, MA 01950-3240
(603) 498-9634
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11324
NH
207P00000X
Emergency Medicine Physician
210087
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y003235NH01
BCBS
NH
05
—
110003415A
—
MA
05
—
30201580
—
NH
01
—
930108812
RAILROAD MCARE
NH
Enumeration date
05/31/2006
Last updated
10/20/2009
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