Individual
JOHN E LUKASZEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 TOWNLINE RD, FORT EDWARD, NY 12828-4026
(315) 439-2372
(888) 855-3127
Mailing address
19 TOWNLINE RD, FORT EDWARD, NY 12828-4026
(315) 439-2372
(888) 855-3127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
148311
NY
Other
Enumeration date
01/10/2006
Last updated
06/25/2010
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