Provider Demographics
NPI:1881146215
Name:LUKNER MEDICAL CLINIC PLLC
Entity type:Organization
Organization Name:LUKNER MEDICAL CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALF
Authorized Official - Middle Name:B
Authorized Official - Last Name:LUKNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:806-329-3050
Mailing Address - Street 1:100 W 30TH AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-2814
Mailing Address - Country:US
Mailing Address - Phone:218-324-6299
Mailing Address - Fax:281-605-5697
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:281-605-5697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty