Healthcare Provider Details

I. General information

NPI: 1932025475
Provider Name (Legal Business Name): ARTUR LUKOVICH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26908 DETROIT RD STE 300
WESTLAKE OH
44145-2399
US

IV. Provider business mailing address

26908 DETROIT RD STE 300
WESTLAKE OH
44145-2399
US

V. Phone/Fax

Practice location:
  • Phone: 440-414-6050
  • Fax:
Mailing address:
  • Phone: 440-414-6050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019079
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: