SearchCalifornia363A00000X

David Lukomsky, PA-C

NPI 1669131272 · on the registry since 2021

Practice

Address
721 River Dr Ste C
Fort Bragg, CA 95437
Phone
(707) 961-4995
Organisation at this address
Theophil Jantz, D.O., Inc
Keith F. Korver, M.D., Inc.
Adventist Health Mendocino Coast
Mendocino Medical Associates, Inc
Adventist Health Physicians Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California