Provider Demographics
NPI:1659232205
Name:BARRE, LUQMAN
Entity type:Individual
Prefix:
First Name:LUQMAN
Middle Name:
Last Name:BARRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 12 OAKS CTR DR STE 908E
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-4707
Mailing Address - Country:US
Mailing Address - Phone:612-391-3777
Mailing Address - Fax:
Practice Address - Street 1:901 12 OAKS CTR DR STE 908E
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-4707
Practice Address - Country:US
Practice Address - Phone:612-391-3777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-22
Last Update Date:2025-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNK281145433011172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver