Lucy B Malkasian, MD
Pediatrics in Wahpeton, ND. Individual provider (NPI-1).
NPI number1215972773
StatusActive
Last updated in NPPESSep 20, 2011
Details
- NPI
- 1215972773
- Entity type
- Individual (NPI-1)
- Name
- Lucy B Malkasian
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2006
- Last updated
- Sep 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 4761 | ND | Yes |
| 208000000X | Pediatrics | 27260 | MN |
Other names
- Lucy B Mesrobian (Other Name)
Practice location
275 11th St SWahpeton, ND 58075-4655
Phone 701-642-2000 · Fax 701-671-4106
Mailing address
275 11th St SWahpeton, ND 58075-4655
Phone 701-642-2000 · Fax 701-671-4106
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