Maliwacki, Lucas W

Maliwacki, Lucas W is an individual health care provider with primary practice located at 4647 Manatee Ave W , Bradenton FL 34209-3816. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Maliwacki, Lucas W can be contacted via phone (941) 745-5999.

Contact Information

Primary practice address
4647 Manatee Ave W Bradenton FL 34209-3816
Phone: (941) 745-5999
Fax: (941) 745-3555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108377 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1194120535
LBN Legal business name Maliwacki, Lucas W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2014
Last updated Sep 27th, 2017 - about 9 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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