Provider Demographics
NPI:1952504037
Name:LUCHANOK, ULADZIMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:ULADZIMIR
Middle Name:
Last Name:LUCHANOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 TSIENNETO RD STE 302
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1584
Mailing Address - Country:US
Mailing Address - Phone:603-434-3525
Mailing Address - Fax:603-434-2877
Practice Address - Street 1:6 TSIENNETO RD STE 302
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1584
Practice Address - Country:US
Practice Address - Phone:603-434-3525
Practice Address - Fax:603-434-2877
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH148042084N0400X
MA2455892084N0400X
MO20080298612084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology