Provider Demographics
NPI:1851142558
Name:LANDEGGER, LUKAS (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LUKAS
Middle Name:
Last Name:LANDEGGER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:LUKAS
Other - Middle Name:DAVID
Other - Last Name:LANDEGGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:801 WELCH RD # 207
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1611
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:801 WELCH RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1611
Practice Address - Country:US
Practice Address - Phone:650-724-1745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program