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Individual
JENNIFER L. LAKOWSKY-BRUECKNER
Active
Individual
JENNIFER L. LAKOWSKY-BRUECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP113869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176801201
—
TX
05
—
176801202
—
TX
05
—
176801203
—
TX
01
—
8N9280
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/07/2005
Last updated
10/27/2022
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