Individual
JUSTIN LUKASIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-8757
Mailing address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-7960
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58.007468
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2016
Last updated
09/06/2016
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