Individual
DR. TIMOTHY L LUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1231 PINE GROVE AVE, SUITE 1A, PORT HURON, MI 48060-3500
(810) 985-4300
(810) 985-9320
Mailing address
1231 PINE GROVE AVE, SUITE 1A, PORT HURON, MI 48060-3500
(810) 985-4300
(810) 985-9320
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
TL066226
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4206774
—
MI
Enumeration date
04/13/2006
Last updated
03/09/2012
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