Basic Information
| Provider Information | |||||||||
| NPI: | 1578773560 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BIERNAT | ||||||||
| FirstName: | LUKASZ | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 890 WELLINGTON WAY | ||||||||
| Address2: | |||||||||
| City: | PEMBROKE | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032753902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6033690101 | ||||||||
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| Practice Location | |||||||||
| Address1: | 60 COMMERCIAL ST | ||||||||
| Address2: | SUITE 401 | ||||||||
| City: | CONCORD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 033015071 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6032287555 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2007 | ||||||||
| LastUpdateDate: | 07/10/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 14055 | NH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.