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Individual

LUKE A PLUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188
Mailing address
100 FODEN RD STE 103, SOUTH PORTLAND, ME 04106-2327
(207) 828-1122
(207) 828-0188

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-7228
ID
207R00000X
Internal Medicine Physician
MD00034724
WA
207RP1001X
Pulmonary Disease Physician
M-7228
ID
207RP1001X
Pulmonary Disease Physician
MD00034724
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD22294
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0215165
LABOR & INDUSTRIES
WA
05
1123389
WA
05
804124700
ID
01
P00367294
RAILROAD MEDICARE
Enumeration date
03/20/2006
Last updated
10/19/2021
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