Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 28820 | NE |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | D72360 | MD |
NPI | 1467405282 |
---|---|
Provider Name | Lou Ann Lukas |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-7400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 22/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1467405282 | (05) | IA |
470376604-32 | (05) | NE |