| Doctor Name: | DR. LUKASZ SWISTUN |
| NPI Number: | 1902083140 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01062349A |
| Business Practice Address: | I Mef Hsse, Attn Mssp Bldg 210721 C St Camp Pendleton, CA - 92055 |
| Business Phone Number: | 7607250508 |
| Business Fax Number: | |
| Mailing Address: | I Mef Hsse, Attn Mssp, Bldg 210721 C St CAMP PENDLETON |
| State: | CA |
| Postal Code: | 92055 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2008 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01062349A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |