Individual
JENNA LUCZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 RIDGEVIEW DR, SMITHFIELD, PA 15478-1650
(724) 569-8100
Mailing address
2006 REVERE DR, CONNELLSVILLE, PA 15425-1523
(724) 322-3957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA061182
PA
2080T0004X
Pediatric Transplant Hepatology Physician
MA061182
PA
Other
Enumeration date
11/04/2019
Last updated
09/20/2022
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