Individual
JAREN STEVEN LUKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
251 COUNTY ROAD 120, SAINT CLOUD, MN 56303-4872
(320) 529-4741
Mailing address
247 9 1/2 ST N, SAUK RAPIDS, MN 56379-2225
(320) 237-5848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7538
MN
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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