| Vladislav Lukin, | |
|
1326 N Stanford Ln, Liberty Lake, WA 99019-5034 | |
| (509) 755-6760 | |
| Not Available |
| Full Name | Vladislav Lukin |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1326 N Stanford Ln, Liberty Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669273843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 61646149 (Washington) | Primary |
| Provider Name | Multicare Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Vladislav Lukin, 523 S Felts Rd, Spokane Valley, WA 99206-3570 Ph: (509) 703-8615 | Vladislav Lukin, 1326 N Stanford Ln, Liberty Lake, WA 99019-5034 Ph: (509) 755-6760 |
David Anthony Therrattil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23505 E Appleway Ave, Ste. 106, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 | |
Madhu Enjati, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21200 E Country Vista Dr, D101, Liberty Lake, WA 99019 Phone: 623-521-8653 | |
Sean Patrick Campbell, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23505 E Appleway Ave Ste 106, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 | |
Caleb Matlock Dotson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23410 E Mission Ave Ste 2, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 | |
Kylie Helgeland, Physical Therapist Medicare: Medicare Enrolled Practice Location: 23410 E Mission Ave Ste 2, Liberty Lake, WA 99019 Phone: 509-891-2258 | |
Mrs. Rebecca L Pagotelis, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23327 East Appleway, Suite 106, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 | |
Steve Charles Allen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23327 East Appleway, Suite 106, Liberty Lake, WA 99019 Phone: 509-891-2258 Fax: 509-891-2094 |