Individual
WILLIAM LUKASIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED. ATC
Contact information
Practice address
5600 CITY AVE, SAINT JOSEPH'S UNIVERSITY SPORTS MEDICINE, PHILADELPHIA, PA 19131-1308
(610) 660-3234
(610) 660-2577
Mailing address
5600 CITY AVE, SAINT JOSEPH'S UNIVERSITY SPORTS MEDICINE, PHILADELPHIA, PA 19131-1308
(610) 660-3234
(610) 660-2577
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001161A
PA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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