Provider Demographics
NPI:1225901903
Name:MOBILEHEALTH WOUND CARE
Entity type:Organization
Organization Name:MOBILEHEALTH WOUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCZKOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-292-4270
Mailing Address - Street 1:16 HILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-3365
Mailing Address - Country:US
Mailing Address - Phone:508-292-4270
Mailing Address - Fax:
Practice Address - Street 1:16 HILL CREEK RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-3365
Practice Address - Country:US
Practice Address - Phone:508-292-4270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-27
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty