Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | DO-05026 | IA |
N | 111NI0900X | Internist | DO-05026 | IA |
N | 207RH0003X | Hematology & Oncology | 9143 | SD |
Y | 207RH0003X | Hematology & Oncology | DO-05026 | IA |
NPI | 1003089814 |
---|---|
Provider Name | Dr. Joshua C Lukenbill |
First Address | Des Moines, IA 50309 |
Second Address | Des Moines, IA 50309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2008 |
Last Update Date | 23/12/2020 |