Peter Lusich Anesthesia Md Pc

NPI 1295088169 - Anesthesiology - 207L00000X

NPI Details
NPI 1295088169
Enumeration Date 10/17/2012
Last Updated 10/17/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PETER PETER
Position OWNER
Phone (541) 882-6311
Fax
Practice Location
2865 DAGGETT AVE
KLAMATH FALLS OR, 97601-1106, US
Phone (541) 882-6311
Fax
Business Location
PO BOX 1359
KLAMATH FALLS OR, 97601-0075, US
Phone
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Nevada
License Number 11770
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According to our database, Peter Lusich Anesthesia Md Pc NPI is 1295088169, taxonomy code is 207L00000X and license number is 11770, license state is located at Nevada. Peter Lusich Anesthesia Md Pc physically located at 2865 Daggett Ave, Klamath Falls OR, 97601-1106. NPI Number 1033115704 has the healthcare provider type.

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1295088169 NPI number is provided on an as is basis without warranty of any kind. 1295088169 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Lusich Anesthesia Md Pc are for informational purposes only.