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Individual

ISMAIL LUKWAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
356 LINCOLN ST APT 23, WALTHAM, MA 02451-2163
(508) 933-7608
Mailing address
356 LINCOLN ST APT 23, WALTHAM, MA 02451-2163
(508) 933-7608

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN92408
MA

Other

Enumeration date
10/20/2019
Last updated
10/20/2019
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