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Contact Information

MICHAEL E LUKAVSKY, DMD
NM-571
#28
EL RITO, NM87530
 Phone: 575-581-0028
 Fax: 575-581-4592
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MICHAEL E LUKAVSKY · (Male)

NPI Number 1245683804
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/19/2016
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # D009556
  • NM License # 4778
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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