Provider Demographics
NPI:1689887499
Name:LUKACZER, DANIEL ORDEN (ND)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ORDEN
Last Name:LUKACZER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5820 98TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-5906
Mailing Address - Country:US
Mailing Address - Phone:253-265-2772
Mailing Address - Fax:253-853-6766
Practice Address - Street 1:6111 20TH ST E
Practice Address - Street 2:
Practice Address - City:FIFE
Practice Address - State:WA
Practice Address - Zip Code:98424-2098
Practice Address - Country:US
Practice Address - Phone:253-926-2222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000642175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath