| Stacy Z. Lukanuski Dds Plc | |
|
2105 E Parham Rd Suite 107 Richmond VA 23228-2236 | |
| (804) 264-9460 | |
| (804) 264-9462 |
| Full Name | Stacy Z. Lukanuski Dds Plc |
|---|---|
| Speciality | Dentist |
| Location | 2105 E Parham Rd, Richmond, Virginia |
| Authorized Official Name and Position | Stacy Lukanuski (DDS) |
| Authorized Official Contact | 8042649460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Z. Lukanuski Dds Plc 2105 E Parham Rd Suite 107 Richmond VA 23228-2236 Ph: (804) 264-9460 | Stacy Z. Lukanuski Dds Plc 2105 E Parham Rd Suite 107 Richmond VA 23228-2236 Ph: (804) 264-9460 |
| NPI Number | 1659560886 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659560886 | NPI | - | NPPES |
| 981168 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401008884 (Virginia) | Primary |
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