Gary Robert Lucachick in International Falls - General Practice
Gary Robert Lucachick - NPI 1104984178
Gary Robert Lucachick is a General Practice in International Falls, Minnesota. Gary Robert Lucachick practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Robert Lucachick is 1104984178. The last update date is 2007-07-08.
Gary Robert Lucachick's current location address is 501 3rd St, International Falls, Minnesota. You can contact this provider via phone number 2182857822 and fax number 2182857822. The mailing address for Gary Robert Lucachick is 501 3rd St, International Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Robert Lucachick |
|---|---|
| Address | 501 3rd St, International Falls, Minnesota |
| Phone Number | 2182857822 |
| Fax Number | 2182857822 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1104984178 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 501 3rd St |
|---|---|
| City | International Falls |
| State | Minnesota (MN) |
| Post Code | 566492305 |
| Phone Number | 2182857822 |
| Fax Number | 2182857822 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9747 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Gary Robert Lucachick?
The Gary Robert Lucachick has been issued the NPI (National Provider Identifier) 1104984178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Gary Robert Lucachick?
The Gary Robert Lucachick is situated at 501 3Rd St, in the city of International Falls, state of MN, with the zip code 566492305.
What is the area of specialization for Gary Robert Lucachick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gary Robert Lucachick is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date was the 1104984178 assigned to Gary Robert Lucachick?
The Gary Robert Lucachick was issued its 1104984178 on 2006-12-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gary Robert Lucachick's details last updated?
The information pertaining to the Gary Robert Lucachick, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
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