Doctor Name: | GUSTAV FELIX LUKBAN |
NPI Number: | 1093904351 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT MOMT MBA |
License Number: | 638 |
Business Practice Address: | 2133 Desert Mission Dr Las Vegas, NV - 891340144 |
Business Phone Number: | 7022172027 |
Business Fax Number: | 7022563658 |
Mailing Address: | 2133 Desert Mission Dr, LAS VEGAS |
State: | NV |
Postal Code: | 891340144 |
Phone Number: | 7022172027 |
Fax Number: | 7022563658 |
NPI Enumeration Date: | 10/23/2007 |
NPI Last Update Date: | 02/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 638 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |