Individual
JEANNE M LUKANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 MEDICAL CENTER DR, SUITE 205, SPRINGFIELD, MA 01107-1270
(413) 794-8050
(413) 794-8054
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
151984
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3159388
—
MA
Enumeration date
02/13/2006
Last updated
03/01/2011
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