Individual
LUKASZ MYC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5955 AIRPORT BLVD, MOBILE, AL 36608-3135
(251) 633-0573
(251) 633-7367
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101260427
VA
207R00000X
Internal Medicine Physician
40964
AL
207RP1001X
Pulmonary Disease Physician
Primary
40964
AL
208M00000X
Hospitalist Physician
0101260427
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02739713
—
MS
05
—
251324
—
AL
05
—
251328
—
AL
05
—
251338
—
AL
05
—
253074
—
AL
01
—
4150261
AETNA
AL
01
—
512-44734
BCBS
AL
01
—
512-44735
BCBS
AL
01
—
512-44736
BCBS
AL
01
—
512-44737
BCBS
AL
01
—
6099394
UHC
AL
01
—
A10255A
MEDICARE
AL
01
—
P02511079
RR MEDICARE
AL
01
—
ZZ2155
VIVA HEALTH
AL
Enumeration date
06/07/2013
Last updated
12/17/2020
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