Individual
ABBEY LUKIANOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 MARKET ST, PHILADELPHIA, PA 19104-5502
(215) 662-2250
Mailing address
3701 MARKET ST, 6TH FLR, PHILADELPHIA, PA 19104-5502
(215) 662-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP014954
PA
Other
Enumeration date
03/15/2014
Last updated
12/09/2015
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