Individual
LUCY B MALKASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Mailing address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
27260
MN
208000000X
Pediatrics Physician
Primary
4761
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103062100
—
ND
01
—
1201182
MEDICA #
ND
05
—
14103
—
ND
01
—
142036
UCARE #
ND
01
—
2495
NDBS #
ND
01
—
2724
NDBS #
ND
01
—
30657
SIOUX VALLEY #
ND
01
—
676668
AMERICA'S PPO/ARAZ #
ND
05
—
7775590
—
ND
01
—
93114MA
MNBS #
ND
01
—
DA9051015636
PREFERRED ONE #
ND
01
—
HP19525
HEALTHPARTNERS #
ND
01
—
ND100017
LHS #
ND
Enumeration date
06/18/2006
Last updated
09/20/2011
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