Individual
NATALIYA LUKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1038 MAIN ST # 1050, SPRINGFIELD, MA 01103-2107
(413) 739-1100
(413) 735-1133
Mailing address
1040 MAIN ST, SPRINGFIELD, MA 01103-2107
(413) 739-1100
(413) 735-1133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2190
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310097
—
MA
01
—
2190
LICENSE
MA
01
—
ML0645385J
CONTROLLED SUBSTANCE REG.
MA
Enumeration date
09/14/2006
Last updated
03/07/2023
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