ELIZABETH LUKETICH PA NPI 1174092837

NPI Information

  • NPI: 1174092837
  • Provider Name: ELIZABETH LUKETICH, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 6 GREENWICH OFFICE PARK
    GREENWICH, CT
    ZIP 06831
  • Phone: (203) 869-1145

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NPI Details

Elizabeth Luketich, PA is a surgical physician assistant in Greenwich, CT. Elizabeth Luketich, PA NPI is 1174092837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6 GREENWICH OFFICE PARK
GREENWICH, CT
ZIP 06831-151
Phone: (203) 869-1145
Fax: (203) 618-1721

The enumeration date for this NPI number is 11/24/2018 and was last updated on 8/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery25MP00500000NEW JERSEYNo
2363AS0400XPhysician AssistantSurgical4341CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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