Individual
DR. LUKASZ IWANCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5855 OLIVAS PARK DR, HOSPITALIST DEPARTMENT, VENTURA, CA 93003-7672
(805) 667-2801
(805) 667-2865
Mailing address
147 N BRENT ST, HOSPITALIST DEPARTMENT, VENTURA, CA 93003-2809
(805) 652-5652
(805) 648-5982
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A79334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114953262
MEDICARE WA79334C
—
Enumeration date
06/23/2006
Last updated
05/08/2015
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