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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427219583 | NPPES |
| Connecticut | MEDICAID | 008057126 |
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