Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | ME105378 | FL |
NPI | 1023217502 |
---|---|
Provider Name | Dr. Lukasz K Janeczek |
First Address | Longwood, FL 32750-6323 |
Second Address | Lake Mary, FL 32746-4853 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2007 |
Last Update Date | 23/06/2021 |