Individual
MR. LUKASZ ROBERT KILJANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
469 HIGHWAY 50, GILLETTE, WY 82718-9330
(307) 387-9850
(307) 387-9890
Mailing address
201 W LAKEWAY RD STE 1004, GILLETTE, WY 82718-6349
(307) 387-9850
(307) 987-9890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT192189
PA
207RN0300X
Nephrology Physician
D79829
MD
207RN0300X
Nephrology Physician
Primary
TL8345
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852107700
—
MD
Enumeration date
08/12/2008
Last updated
09/11/2024
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