Gina Luckianow
Gina Luckianow is a Surgical Physician Assistant in Birmingham, Alabama. Works from 2 locations. Licensed in Alabama and Connecticut.
- Licensed in
- AL, CT
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
1940 Elmer J Bissell RdBirmingham, AL 35243-2941
Phone: (205) 638-4949
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 330 Cedar St, New Haven, CT 06510-3218 — (203) 785-2572
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA1060 (AL) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 001512 (CT) |
Record details
| NPI number | 1891922431 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 22, 2009 |
| Last updated in NPPES | September 22, 2020 |
| Certification date | September 22, 2020 |
| Mailing address | 1940 Elmer J Bissell Rd, Birmingham, AL 35243-2941 |
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