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Individual

LUKAS C BLIGNAUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-4443
(239) 436-5907
Mailing address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-4443
(239) 436-5907

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01062817A
IN
2085R0202X
Diagnostic Radiology Physician
060799
GA
2085R0202X
Diagnostic Radiology Physician
Primary
101688
FL
2085R0202X
Diagnostic Radiology Physician
29548
KS
2085R0202X
Diagnostic Radiology Physician
40770
KY
2085R0202X
Diagnostic Radiology Physician
M8540
TX
2085R0202X
Diagnostic Radiology Physician
MD33482
SC
2085R0202X
Diagnostic Radiology Physician
ME101688
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102472700
FL
01
14F4G
BCBS
FL
Enumeration date
06/25/2006
Last updated
07/25/2019
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