Individual
MATTHEW LUKACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 BROOKFIELD AVE, BOARDMAN, OH 44512-3447
(330) 519-4603
Mailing address
217 BROOKFIELD AVE, BOARDMAN, OH 44512-3447
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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