Individual
CARLEY LUKASIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3218 STEPHENS AVE, MISSOULA, MT 59801-8519
(406) 366-2147
Mailing address
3218 STEPHENS AVE, MISSOULA, MT 59801-8519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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