Individual
MALLORY LYNN LUKASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1200 W COLLEGE ST, LIBERTY, MO 64068-1036
(816) 781-3020
Mailing address
4545 NE 83RD ST, KANSAS CITY, MO 64119-7620
(847) 912-0572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2020027624
MO
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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