Enggano, Ishak Lukas
Enggano, Ishak Lukas is an individual health care provider with primary practice located at 830 S Gloster St , Tupelo MS 38801-4934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Enggano, Ishak Lukas can be contacted via phone (662) 620-1468.Contact Information
Primary practice address
830 S Gloster St
Tupelo MS 38801-4934
Phone: (662) 620-1468
Fax: (662) 844-8298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 10209 | Mississippi |
Profile Details
| NPI number | 1417995119 |
|---|---|
| LBN Legal business name | Enggano, Ishak Lukas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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