Individual
KATIE LUKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
907 OAK CLUSTER DR, HOWELL, MI 48855-7307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010139
MI
363A00000X
Physician Assistant
5601010139TMP20
MI
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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