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Contact Information

RENA K LUKASIK, PA
SFMC RICKER RD
BLDG 2496
FORT BLISS, TX79916
 Phone: 915-568-3088
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for RENA K LUKASIK · (Female)

NPI Number 1932246147
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/30/2007
Last updated 02/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA04260
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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