Wilczanski, Peter Lukasz

Wilczanski, Peter Lukasz is an individual health care provider with primary practice located at 5241 Buffalo Rd Lakeshore Family Practice, Erie PA 16510-2309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilczanski, Peter Lukasz can be contacted via phone (814) 877-7686.

Contact Information

Primary practice address
5241 Buffalo Rd Lakeshore Family Practice Erie PA 16510-2309
Phone: (814) 877-7686
Fax: (814) 877-7692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD040751L Pennsylvania

Profile Details

NPI number 1700874146
LBN Legal business name Wilczanski, Peter Lukasz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated May 15th, 2008 - about 18 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 1700874146 NPPES
New York Other 00025573901 UNIVERA
New York MEDICAID 0011180320003 UNIVERA
New York Other 080081947 UNIVERA
New York Other 66429 UNIVERA
New York Other P000383 UNIVERA
New York Other 212709 UNIVERA
New York Other 522615 UNIVERA
New York Other 01917019 UNIVERA
New York Other 015973 UNIVERA

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