Lora Denise Paulukonis PA-C

NPI 1710939178 - Physician Assistant - 363AM0700X

NPI Details
NPI 1710939178
Gender Female
Enumeration Date 05/16/2006
Last Updated 04/12/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
575 N RIVER ST
WILKES BARRE PA, 18764-0999, US
Phone (570) 552-1180
Fax
Business Location
4149 BEAR CREEK BLVD
BEAR CREEK TW PA, 18702-9749, US
Phone (570) 472-0226
Fax (570) 472-0226
Toxanomy
Taxonomy Code 363AM0700X
License State Pennsylvania
License Number MA050793
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According to our database, Mrs. Lora Denise Paulukonis PA-C NPI is 1710939178, taxonomy code is 363AM0700X and license number is MA050793, license state is located at Pennsylvania. Lora Denise Paulukonis PA-C physically located at 575 N River St, Wilkes Barre PA, 18764-0999. NPI Number Lora Denise Paulukonis PA-C has the Individual type.

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1710939178 NPI number is provided on an as is basis without warranty of any kind. 1710939178 is maintained by the National Plan & Provider Enumeration System. The contents of Lora Denise Paulukonis PA-C are for informational purposes only.