Lukanich, Jeanne M

Lukanich, Jeanne M is an individual health care provider with primary practice located at 2 Medical Center Dr Suite 205, Springfield MA 01107-1270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Lukanich, Jeanne M can be contacted via phone (413) 794-8050.

Contact Information

Primary practice address
2 Medical Center Dr Suite 205 Springfield MA 01107-1270
Phone: (413) 794-8050
Fax: (413) 794-8054
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 151984 Massachusetts

Profile Details

NPI number 1679547277
LBN Legal business name Lukanich, Jeanne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Mar 1st, 2011 - about 14 years 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 1679547277 NPPES
Massachusetts MEDICAID 3159388

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