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Individual
LUCAS W MALIWACKI
Active
Individual
LUCAS W MALIWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9108377
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/28/2014
Last updated
09/27/2017
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