Lukose, Shane

Lukose, Shane is an sole proprietor health care provider with primary practice located at 24 Hospital Ave , Danbury CT 06810-6099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lukose, Shane can be contacted via phone (203) 739-6752.

Contact Information

Primary practice address
24 Hospital Ave Danbury CT 06810-6099
Phone: (203) 739-6752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 69316 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MT216301 Pennsylvania

Profile Details

NPI number 1508350935
LBN Legal business name Lukose, Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2018
Last updated Jan 9th, 2024 - about 10 months 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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