Individual
DR. JAN S LUKAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 WEST CENTRAL AVE, STE 300, BREA, CA 92821
(714) 529-9563
(714) 529-8476
Mailing address
410 W CENTRAL AVE, STE 109, BREA, CA 92821
(714) 529-9563
(714) 529-8476
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A32888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A328880
—
CA
01
—
180001142
RAILROAD MEDICARE NUMBER
CA
01
—
180001142
RAILROAD MEDICARE
—
Enumeration date
10/26/2007
Last updated
01/02/2019
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