| NPI | 1407386774 |
|---|---|
| Former Name | MEGAN JO LUKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A133844) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IA A133844) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-09-25 |