NPI | 1316221963 |
---|---|
Former Legal Business Name | JAMES P. LUKAVSKY, M.D. |
Entity Type | Organization |
Authorized Contact | JAMES PAUL LUKAVSKY Doctor 417-337-7511 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-09-30 |
Last Update Date | 2011-10-25 |