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Gail S Lukasiewicz, NP
Family Nurse Practitioner in South Bend, Indiana
NPI 1104816479

Gail S Lukasiewicz is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Gail S Lukasiewicz practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Gail S Lukasiewicz is 1104816479 and holds a License No. 71001252A (Indiana).

The current practice location address for Gail S Lukasiewicz is 610 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-8120 and via fax at 574-647-8111. You can also correspond with Gail S Lukasiewicz through the mailing address at 3355 DOUGLAS RD, SOUTH BEND, IN - 46635-1781 (mailing address contact number: ).

Location: 610 N Michigan St, South Bend, IN, 46635-1781
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Provider Profile Details
NPI Number
1104816479
Provider Name
Gail S Lukasiewicz
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
610 N Michigan St, South Bend, IN, 46635-1781
Phone Number
574-647-8120
Fax Number
574-647-8111
Provider Enumeration Date
10/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
257270B 01 IN MEDICARE PTAN
200411050 05 IN
institution
Provider Business Practice Location Address Details
Address
610 N Michigan St
City
State
Zip
46601-1077
Phone Number
574-647-8120
Fax Number
574-647-8111
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Provider Business Mailing Address Details
Address
3355 Douglas Rd
City
State
Zip
46635-1781
Phone Number
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71001252A (Indiana)
Definition
Definition to come...
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