Individual provider · Type 1 NPI

Lora Denise Paulukonis, PA-C

Medical Physician Assistant · Wilkes Barre, PA

NPI number 1710939178 Active

Practice location

575 N River St
Wilkes Barre, PA 18764-0999

Call (570) 552-1180 Map

Mailing address

4149 Bear Creek Blvd
Bear Creek Tw, PA 18702-9749

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA050793 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1710939178

Lora Denise Paulukonis, PA-C's National Provider Identifier is 1710939178, issued on May 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilkes Barre, PA. The record was last updated on Apr 12, 2012.