Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 768047 | MI |
NPI | 1790804813 |
---|---|
Provider Name | Dr. Nicholas Daniel Lukacs |
First Address | Charlotte, NC 28277-6660 |
Second Address | Charlotte, NC 28277-6660 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 01/02/2022 |