Lukasik, Mary Lynn

Lukasik, Mary Lynn is an individual health care provider with primary practice located at 1815 Via El Prado Ste 400 Hollywood Riviera Village, Redondo Beach CA 90277-5727. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lukasik, Mary Lynn can be contacted via phone (310) 792-4325.

Contact Information

Primary practice address
1815 Via El Prado Ste 400 Hollywood Riviera Village Redondo Beach CA 90277-5727
Phone: (310) 792-4325
Fax: (310) 792-4328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 42576 California

Profile Details

NPI number 1053444141
LBN Legal business name Lukasik, Mary Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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