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Individual
NATALIYA LUKIN
Active
Individual
NATALIYA LUKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310097
—
MA
01
—
2190
LICENSE
MA
01
—
ML0645385J
CONTROLLED SUBSTANCE REG.
MA
Enumeration date
09/14/2006
Last updated
03/07/2023
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