Individual
MR. ANTHONY LUCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP07963
LA
363LP0200X
Pediatric Nurse Practitioner
APO7963
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2374451
—
LA
Enumeration date
07/28/2014
Last updated
10/22/2019
Update your record
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