Individual
ALICE M LUKNIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
930 SW ABBEY ST, NEWPORT, OR 97365-4820
(833) 222-5600
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
66448
MN
207RH0003X
Hematology & Oncology Physician
33084
CO
207RX0202X
Medical Oncology Physician
66448
MN
207RX0202X
Medical Oncology Physician
Primary
CP203734
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01330844
—
CO
Enumeration date
07/08/2006
Last updated
06/20/2023
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