Individual
LUKMAN A. TIJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8600
(806) 775-8602
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-3150
(806) 743-3168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45237
TX
207RH0003X
Hematology & Oncology Physician
Primary
45237
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008309640001
—
PA
05
—
1008309640002
—
PA
05
—
1008309640003
—
PA
01
—
1545048
PERSONAL CHOICE
PA
05
—
219696601
—
TX
01
—
2228842000
KEYSTONE,IBC
PA
01
—
30016642
KEYSTONE MERCY
PA
Enumeration date
01/17/2007
Last updated
11/10/2021
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