Jerome M Lukasik in Kenosha - General Practice
Jerome M Lukasik - NPI 1356459267
Jerome M Lukasik is a General Practice in Kenosha, Wisconsin. Jerome M Lukasik practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerome M Lukasik is 1356459267. The last update date is 2007-07-08.
Jerome M Lukasik's current location address is 7117 Green Bay Rd, Kenosha, Wisconsin. You can contact this provider via phone number 2629427000 and fax number 2629427117. The mailing address for Jerome M Lukasik is 7117 Green Bay Rd, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome M Lukasik |
|---|---|
| Address | 7117 Green Bay Rd, Kenosha, Wisconsin |
| Phone Number | 2629427000 |
| Fax Number | 2629427117 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356459267 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7117 Green Bay Rd |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531421450 |
| Phone Number | 2629427000 |
| Fax Number | 2629427117 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4992-015 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33749100 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerome M Lukasik by the Centers for Medicare & Medicaid Services?
The Jerome M Lukasik has been issued the NPI (National Provider Identifier) 1356459267, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jerome M Lukasik's facilities are geographically located?
The facilities of Jerome M Lukasik are physically situated at the following location: 7117 Green Bay Rd, Kenosha, WI, 531421450.
What is Jerome M Lukasik's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerome M Lukasik's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Jerome M Lukasik's 1356459267 issued?
The Jerome M Lukasik's 1356459267 was issued on 2006-08-29.
When was the Jerome M Lukasik's information last updated?
The Jerome M Lukasik's information was last updated on 2007-07-08.
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