| NPI | 1336322866 |
|---|---|
| Former Name | JOLENE MARIE LUKASIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 672) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 111296) |
| 363AM0700X Physician Assistant, Medical (Licence: NE 672) | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2025-06-09 |