DAVID GRANT LUKOMSKY

FORT BRAGG, CA
NPI1669131272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA60459)
Enumeration Date2021-12-10
Last Update Date2021-12-10
Business Address
DAVID GRANT LUKOMSKY PA-C
721 RIVER DR STE C
FORT BRAGG, CA 95437
Phone number: 707-961-4995
Mailing Address
DAVID GRANT LUKOMSKY PA-C
931 W GREAT BASIN DR
MERIDIAN, ID 83646-4574
Phone number: 208-724-9391
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