Physician Compare National (NPI:1962697573)

HEALTHCARE PROVIDER: ROY MICHAEL LUKAT M.ED.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1962697573
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325292949
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130207000350
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LUKAT
	Individual professional last name
Provider First Name	ROY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	445 S HWY 27
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	SOMERSET
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	425013445
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6066793866
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y