Individual
DR. MICHAEL E LUKAVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NM-571, #28, EL RITO, NM 87530
(575) 581-0028
(575) 581-4592
Mailing address
NM-571, #28, EL RITO, NM 87530
(575) 581-0028
(575) 581-4592
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4778
NM
1223G0001X
General Practice Dentistry
D009556
AZ
Other
Enumeration date
07/19/2016
Last updated
07/21/2022
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