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Luke Kopulos, MD
Diagnostic Radiology Physician in East Lalnsing, Michigan
NPI 1245436013

Luke Kopulos is a Diagnostic Radiology Physician based in East Lalnsing, MI and is specialized in Diagnostic Radiology. Luke Kopulos practices in East Lalnsing, MI and has the professional credentials of MD. The NPI Number for Luke Kopulos is 1245436013 and holds a License No. 125052708 (Michigan).

The current practice location address for Luke Kopulos is 804 Service Road, East Lalnsing, MI and can be reached out via phone at 517-355-5053 and via fax at 517-432-4394.

Location: 804 Service Road, East Lalnsing, MI, 48824-7062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245436013
Provider Name
Luke Kopulos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
804 Service Road, East Lalnsing, MI, 48824-7062
Phone Number
517-355-5053
Fax Number
517-432-4394
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1245436013 05 MI
institution
Provider Business Practice Location Address Details
Address
804 Service Road
City
East Lalnsing
State
Michigan
Zip
48824-7062
Phone Number
517-355-5053
Fax Number
517-432-4394
person
Provider Business Mailing Address Details
Address
804 Service Road
City
East Lalnsing
State
Michigan
Zip
48824-7062
Phone Number
517-355-5053
Fax Number
517-432-4394
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301102549 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125052708 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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