| Lukner Medical Clinic Pllc | |
|
2545 Perryton Pkwy Ste 31 Pampa TX 79065-2820 | |
| (806) 329-3050 | |
| (281) 605-5697 |
| Full Name | Lukner Medical Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2545 Perryton Pkwy Ste 31, Pampa, Texas |
| Authorized Official Name and Position | Ralf B Lukner (PRESIDENT) |
| Authorized Official Contact | 8063293050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lukner Medical Clinic Pllc 100 W 30th Ave Suite 107 Pampa TX 79065-2814 Ph: (218) 324-6299 | Lukner Medical Clinic Pllc 2545 Perryton Pkwy Ste 31 Pampa TX 79065-2820 Ph: (806) 329-3050 |
| NPI Number | 1881146215 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 8729367297 |
|---|---|
| Medicare Enrollment ID | O20161128002115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881146215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ralf Bernhard Lukner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053607507 PECOS PAC ID: 4981923547 Enrollment ID: I20151208001933 |
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