Individual
DR. ALEXANDRA LUKIANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 WESTPARK DR STE 240, BRENTWOOD, TN 37027-5643
(860) 906-8515
Mailing address
PO BOX 848388, BOSTON, MA 02284-8388
(860) 533-2903
(860) 533-2928
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
61098
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008057126
—
CT
Enumeration date
06/21/2008
Last updated
10/01/2024
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