LUKAS GARDNER

FLAGSTAFF, AZ
NPI1215745104
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: AZ  247536)
Enumeration Date2024-12-23
Last Update Date2024-12-23
Business Address
LUKAS GARDNER
1851 N GEMINI DR
FLAGSTAFF, AZ 86001-1607
Phone number: 928-774-7070
Mailing Address
LUKAS GARDNER
4343 E SOLIERE AVE APT 2023
FLAGSTAFF, AZ 86004-7953
Phone number: 913-433-6299