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Contact Information

LUDY LUKOSE, MD
407 EAST MAPLE STREET
SUITE 101
CUMMING, GA30040
 Phone: 770-888-6697
 Fax: 770-888-6698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LUDY LUKOSE · (Female)

NPI Number 1023258274
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2009
Last updated 01/22/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 070217
  • GA Medicaid 003137069A
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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