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1104816479
GAIL S LUKASIEWICZ
SOUTH BEND, IN
NPI
1104816479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71001252A)
Enumeration Date
2005-10-26
Last Update Date
2009-02-19
Business Address
-- GAIL S LUKASIEWICZ NP
610 N MICHIGAN ST SUITE 400
SOUTH BEND, IN 46601-1077
Phone number: 574-647-8120
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Mailing Address
-- GAIL S LUKASIEWICZ NP
3355 DOUGLAS RD SUITE 300
SOUTH BEND, IN 46635-1781
Phone number:
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