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NPI Code Detail

MEDICARE: DR. ADAM MICHAL LUKASIK MD

MEDICARE: DR. ADAM MICHAL LUKASIK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianN5818TX
2207R00000XInternal Medicine PhysicianN5818TX

General Provider Information

NPI Number : 1497806202
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM MICHAL LUKASIK MD
Provider Business Mailing Address
First Line : 6101 BLUE LAGOON DR
Second Line : STE 400
City : MIAMI
State : FL
Zip : 33126-2051
Country : US
Telephone Number : 305-500-2027
Fax Number : 305-500-2155
Provider Business Practice Location Address
First Line : 10435 VISTA DEL SOL DR
Second Line :
City : EL PASO
State : TX
Zip : 79925-7920
Country : US
Telephone Number : 915-591-6229
Fax Number : 915-206-6385
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 10/01/2020

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