Luquette, Mark
Luquette, Mark is an individual health care provider with primary practice located at 500 Harvard St Se Ste 609 , Minneapolis MN 55455-0363. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Pediatric Pathology is his primary health care specialty. Luquette, Mark can be contacted via phone (612) 273-3000.Contact Information
Primary practice address
500 Harvard St Se Ste 609
Minneapolis MN 55455-0363
Phone: (612) 273-3000
Fax: (612) 273-4370
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 59179 | Minnesota |
Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | 59179 | Minnesota |
Profile Details
NPI number | 1154305324 |
---|---|
LBN Legal business name | Luquette, Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 1st, 2005 |
Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154305324 | NPPES |
Ohio | MEDICAID | 0975539 | |
Ohio | MEDICAID | 117433604 | |
Ohio | MEDICAID | 117433605 |
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