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Shannon Lukasik

NPI #1134472293 in Islandia, New York

Provider Information

NPI Number
1134472293
Entity Type
Individual
Name
Shannon Lukasik
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Oct 25, 2012
Last Updated
Oct 25, 2012

Practice Location

Address
860 OLD NICHOLS RD
City
Islandia
State
New York
ZIP Code
11749-5005
Phone
(631) 664-0786

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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