Individual
JAMES P LUKAVSKY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 BUSINESS PARK DR, SUITE A, BRANSON, MO 65616
(417) 337-7511
(877) 836-7836
Mailing address
115 BUSINESS PARK DR, SUITE A, BRANSON, MO 65616
(417) 337-7511
(877) 836-7836
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 36766
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202238028
—
MO
Enumeration date
08/10/2005
Last updated
03/04/2024
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