Malkasian, Lucy B

Malkasian, Lucy B is an individual health care provider with primary practice located at 275 11Th St S , Wahpeton ND 58075-4655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Malkasian, Lucy B can be contacted via phone (701) 642-2000.

Contact Information

Primary practice address
275 11Th St S Wahpeton ND 58075-4655
Phone: (701) 642-2000
Fax: (701) 671-4106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4761 North Dakota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27260 Minnesota

Profile Details

NPI number 1215972773
LBN Legal business name Malkasian, Lucy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Sep 20th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215972773 NPPES
North Dakota Other 142036 UCARE #
North Dakota MEDICAID 7775590 UCARE #
North Dakota Other DA9051015636 UCARE #
North Dakota Other HP19525 UCARE #
North Dakota Other 30657 UCARE #
North Dakota MEDICAID 103062100 UCARE #
North Dakota Other 2495 UCARE #
North Dakota Other 2724 UCARE #
North Dakota Other ND100017 UCARE #
North Dakota Other 1201182 UCARE #
North Dakota MEDICAID 14103 UCARE #
North Dakota Other 676668 UCARE #
North Dakota Other 93114MA UCARE #

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