Mary Lynn Lukasik D.D.S.

NPI 1053444141 - Dentist - 1223G0001X

NPI Details
NPI 1053444141
Gender Female
Enumeration Date 03/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1815 VIA EL PRADO STE 400
HOLLYWOOD RIVIERA VILLAGE
REDONDO BEACH CA, 90277-5727, US
Phone (310) 792-4325
Fax (310) 792-4328
Business Location
1815 VIA EL PRADO STE 400
HOLLYWOOD RIVIERA VILLAGE
REDONDO BEACH CA, 90277-5727, US
Phone (310) 792-4325
Fax (310) 792-4328
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 42576
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According to our database, Dr. Mary Lynn Lukasik D.D.S. NPI is 1053444141, taxonomy code is 1223G0001X and license number is 42576, license state is located at California. Mary Lynn Lukasik D.D.S. physically located at 1815 Via El Prado Ste 400, Redondo Beach CA, 90277-5727. NPI Number Mary Lynn Lukasik D.D.S. has the Individual type.

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1053444141 NPI number is provided on an as is basis without warranty of any kind. 1053444141 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Lynn Lukasik D.D.S. are for informational purposes only.