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1710939178
LORA DENISE PAULUKONIS
WILKES BARRE, PA
NPI
1710939178
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Former Name
LORA DENIES ELLSWORTH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA050793)
Enumeration Date
2006-05-16
Last Update Date
2012-04-12
Business Address
Mrs. LORA DENISE PAULUKONIS PA-C
575 N RIVER ST
WILKES BARRE, PA 18764-0999
Phone number: 570-552-1180
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Mailing Address
Mrs. LORA DENISE PAULUKONIS PA-C
4149 BEAR CREEK BLVD
BEAR CREEK TW, PA 18702-9749
Phone number: 570-472-0226
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