Vallecilla Lukauskis, Diana Maria

Vallecilla Lukauskis, Diana Maria is an individual health care provider with primary practice located at 330 Turner Mccall Blvd Sw , Rome GA 30165-5630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Vallecilla Lukauskis, Diana Maria can be contacted via phone (706) 291-1754.

Contact Information

Primary practice address

330 Turner Mccall Blvd Sw Rome GA 30165-5630

Phone: (706) 291-1754

Fax: (706) 291-2227

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology	207V00000X	058590	Georgia

Profile Details

NPI number	1639211188
LBN Legal business name	Vallecilla Lukauskis, Diana Maria
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 13th, 2007
Last updated	May 5th, 2020 - about 6 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

State	Type	Number	Issuer
All States	NPI	1639211188	NPPES
Georgia	MEDICAID	873915717B

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