Provider Demographics
NPI:1053607507
Name:LUKNER, RALF B (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:RALF
Middle Name:B
Last Name:LUKNER
Suffix:
Gender:M
Credentials:MD, PHD
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Other - Credentials:
Mailing Address - Street 1:2545 PERRYTON PKWY STE 31
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-2820
Mailing Address - Country:US
Mailing Address - Phone:806-329-3050
Mailing Address - Fax:806-905-6368
Practice Address - Street 1:2545 PERRYTON PKWY STE 31
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-2820
Practice Address - Country:US
Practice Address - Phone:806-329-3050
Practice Address - Fax:806-905-6368
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10041519207R00000X
MN59178207R00000X
TXQ6226207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine