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Contact Information

DAVID G LUKOMSKY, PA-C
721 RIVER DR STE C
FORT BRAGG, CA95437
 Phone: 707-961-4995
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID G LUKOMSKY · (Male)

NPI Number 1669131272
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/10/2021
Last updated 12/10/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA60459
Hospital affiliation(s)
  • FRANK R HOWARD MEMORIAL HOSPITAL - (Critical Access)
    1 MADRONE STREET
    WILLITS, CA 95490
  • UKIAH VALLEY MEDICAL CENTER/HOSPITAL D - (Acute Care)
    275 HOSPITAL DRIVE
    UKIAH, CA 95482
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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