Lukianoff, Alexandra

Lukianoff, Alexandra is an individual health care provider with primary practice located at 71 Haynes St Echn Center For Wound Healing, Manchester CT 06040-4131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Lukianoff, Alexandra can be contacted via phone (860) 533-2903.

Contact Information

Primary practice address
71 Haynes St Echn Center For Wound Healing Manchester CT 06040-4131
Phone: (860) 533-2903
Fax: (860) 533-2928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 53578 Connecticut

Profile Details

NPI number 1427219583
LBN Legal business name Lukianoff, Alexandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2008
Last updated Nov 8th, 2016 - about 10 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 1427219583 NPPES
Connecticut MEDICAID 008057126

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