JEROME M LUKASIK

KENOSHA, WI
NPI1356459267
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  4992-015)
Enumeration Date2006-08-29
Last Update Date2007-07-08
Business Address
-- JEROME M LUKASIK DDS
7117 GREEN BAY RD
KENOSHA, WI 53142-1450
Phone number: 262-942-7000
Mailing Address
-- JEROME M LUKASIK DDS
7117 GREEN BAY RD
KENOSHA, WI 53142-1450
Phone number: 262-942-7000
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