1619033107 NPI number — DR. CHRISTOPHER JOSEPH LUKONIS M.D.

Table of content: DR. CHRISTOPHER JOSEPH LUKONIS M.D. (NPI 1619033107)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619033107 NPI number — DR. CHRISTOPHER JOSEPH LUKONIS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LUKONIS
Provider First Name:
CHRISTOPHER
Provider Middle Name:
JOSEPH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619033107
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/04/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 GRANGER RD
Provider Second Line Business Mailing Address:
CVAM
Provider Business Mailing Address City Name:
BERLIN
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05602
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-943-0411
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 GRANGER RD
Provider Second Line Business Practice Location Address:
CVAM
Provider Business Practice Location Address City Name:
BERLIN
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-943-0411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  210265 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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