Individual provider · Type 1 NPI

Gail S. Lukasiewicz, NP

Family Nurse Practitioner · South Bend, IN

NPI number 1104816479 Active

Practice location

610 N Michigan St, Suite 400
South Bend, IN 46601-1077

Fax (574) 647-8111

Mailing address

3355 Douglas Rd, Suite 300
South Bend, IN 46635-1781

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71001252A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1104816479

Gail S. Lukasiewicz, NP's National Provider Identifier is 1104816479, issued on Oct 26, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Bend, IN. The record was last updated on Feb 19, 2009.