DIVYAMOL LUKOSE

WORCESTER, MA
NPI1750096756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MA  RN2336104)
Enumeration Date2023-01-16
Last Update Date2023-01-16
Business Address
Mrs. DIVYAMOL LUKOSE CNP
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 774-441-6767
Mailing Address
Mrs. DIVYAMOL LUKOSE CNP
3 POINT RD UNIT 2
SHREWSBURY, MA 01545-4590
Phone number: 508-250-0060