Lukomsky, David Grant

Lukomsky, David Grant is an individual health care provider with primary practice located at 721 River Dr Ste C , Fort Bragg CA 95437. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lukomsky, David Grant can be contacted via phone (707) 961-4995.

Contact Information

Primary practice address
721 River Dr Ste C Fort Bragg CA 95437
Phone: (707) 961-4995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60459 California

Profile Details

NPI number 1669131272
LBN Legal business name Lukomsky, David Grant
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2021
Last updated Dec 10th, 2021 - about 4 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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