Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | HS000102L | PA |
NPI | 1013536507 |
---|---|
Provider Name | Abigail Lukasik |
First Address | Harrisburg, PA 17104 |
Second Address | Harrisburg, PA 17104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2020 |
Last Update Date | 21/05/2020 |