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:
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Health care specialties

SpecialtyCodeLicense #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 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154305324 NPPES
Ohio MEDICAID 0975539
Ohio MEDICAID 117433604
Ohio MEDICAID 117433605

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