Individual provider · Type 1 NPI

Lucas W. Maliwacki, PA-C

Physician Assistant · Bradenton, FL

NPI number 1194120535 Active

Practice location

4647 Manatee Ave W
Bradenton, FL 34209-3816

Fax (941) 745-3555

Mailing address

367 S. Gulph Rd, Att: Ipm Credentialing
King Of Prussia, PA 19406-3121

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9108377 (FL)
Physician Assistant 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1194120535

Lucas W. Maliwacki, PA-C's National Provider Identifier is 1194120535, issued on Oct 28, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bradenton, FL. The record was last updated on Sep 27, 2017.