| NPI | 1982472205 |
|---|---|
| Former Name | REBECCA STEWART LUKASZCZYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP028873) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP028873) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP028873) | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-01-29 |