# DR. JAN S LUKAC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699954644
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A32888 | CA | Yes |

## Other

- **Enumeration date:** 10/26/2007
- **Last updated:** 01/02/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A328880 | — | CA |
| 01 | — | 180001142 | RAILROAD MEDICARE NUMBER | CA |
| 01 | — | 180001142 | RAILROAD MEDICARE | — |