Individual
BENSON LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3418 CASEY ST, LORIS, SC 29569-2904
(228) 867-4968
Mailing address
3418 CASEY ST, LORIS, SC 29569-2904
(228) 867-4968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95609
SC
Other
Enumeration date
03/30/2022
Last updated
11/11/2025
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