Roger S Luckmann in Worcester - Family Medicine
Roger S Luckmann - NPI 1386627057
Roger S Luckmann is a Family Medicine in Worcester, Massachusetts. Roger S Luckmann practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Roger S Luckmann is 1386627057. The last update date is 2009-04-08.
Roger S Luckmann's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5088562818. The mailing address for Roger S Luckmann is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger S Luckmann |
|---|---|
| Address | 55 Lake Ave N, Worcester, Massachusetts |
| Phone Number | 5088562818 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386627057 |
|---|---|
| Provider Enumeration Date | 2005-11-27 |
| Last Updated Date | 2009-04-08 |
Provider Mailing Address Detail
| Address | 55 Lake Ave N |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16550002 |
| Phone Number | 5088562818 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 59996 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3045064 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Roger S Luckmann?
The Roger S Luckmann has been issued the NPI (National Provider Identifier) 1386627057 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Roger S Luckmann's facilities are situated?
The facilities of Roger S Luckmann are physically located at the following address: 55 Lake Ave N, Worcester, MA, 16550002.
What is Roger S Luckmann's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Roger S Luckmann is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386627057 to Roger S Luckmann?
The Roger S Luckmann received its 1386627057 assignment from the Centers for Medicare & Medicaid Services on 2005-11-27.
As of what date were the details pertaining to Roger S Luckmann last refreshed?
The information related to the Roger S Luckmann, including its address, specialty, and other relevant details, was last updated on 2009-04-08.