Provider Demographics
NPI:1376608919
Name:LANUKA, DANIEL JOSEPH (MPT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JOSEPH
Last Name:LANUKA
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1489 STURDY OAK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2035
Mailing Address - Country:US
Mailing Address - Phone:412-429-1867
Mailing Address - Fax:412-429-0614
Practice Address - Street 1:1489 STURDY OAK DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2035
Practice Address - Country:US
Practice Address - Phone:412-429-1867
Practice Address - Fax:412-429-0614
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016725225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA113209WU6Medicare PIN