Provider Demographics
NPI:1417049297
Name:LUKASH, BARBARA LYNNE (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNNE
Last Name:LUKASH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LAWTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6349
Mailing Address - Country:US
Mailing Address - Phone:914-712-2800
Mailing Address - Fax:914-712-0155
Practice Address - Street 1:14 LAWTON ST
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6349
Practice Address - Country:US
Practice Address - Phone:914-712-2800
Practice Address - Fax:914-712-0155
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY137921207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00509339Medicaid
NY41A051Medicare ID - Type Unspecified
NY00509339Medicaid