Konovalenko, Lucas W

Konovalenko, Lucas W is an individual health care provider with primary practice located at 935 Trancas St Ste 4B , Napa CA 94558-2943. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Konovalenko, Lucas W can be contacted via phone (707) 346-4444.

Contact Information

Primary practice address
935 Trancas St Ste 4B Napa CA 94558-2943
Phone: (707) 346-4444
Fax: (877) 354-4771
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301089987 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A135704 California

Profile Details

NPI number 1699972679
LBN Legal business name Konovalenko, Lucas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Mar 15th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699972679 NPPES
Michigan Other 0412253 BCBS PIN

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