Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 291302-1 | NY |
Y | 207U00000X | Nuclear Medicine Specialist | 66166 | GA |
NPI | 1366605602 |
---|---|
Provider Name | Dr. Robert Lucaj |
First Address | Tampa, FL 33612-4745 |
Second Address | Tampa, FL 33612-4745 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 07/11/2018 |