Shane Lukose, MD Valid NPI
Individual provider · Family Medicine Physician · Danbury, CT
- NPI
- 1508350935
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 69316 (CT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-06-19
- Last updated
- 2024-01-09
Practice location
24 Hospital Ave
Danbury, CT 06810-6099
(203) 739-6752