Individual
LUKE N LAURIDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST RM 1106, CHICAGO, IL 60612-7232
(312) 996-6970
Mailing address
840 SOUTH WOOD STREET, CSN 130 (MC 847), CHICAGO, IL 60612-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
036.154809
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.154809
IL
Other
Enumeration date
06/18/2018
Last updated
11/13/2023
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