Lukish, Jeffrey R

Lukish, Jeffrey R is an individual health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Lukish, Jeffrey R can be contacted via phone (202) 476-5000.

Contact Information

Primary practice address
111 Michigan Ave Nw Washington DC 20010-2916
Phone: (202) 476-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD32063 District of Columbia

Profile Details

NPI number 1932113545
LBN Legal business name Lukish, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Nov 27th, 2018 - about 7 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 1932113545 NPPES
Maryland Other 104423158 CAQH PROVIDER ID
Maryland MEDICAID 697801101 CAQH PROVIDER ID

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