Individual
SHANNON LUKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
116 HOBART ST, HINGHAM, MA 02043-3016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2309219
MA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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