Individual
LUKRESSE TATIANA NJIOJOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 929-2300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225039
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
451019
WI
Other
Enumeration date
01/07/2016
Last updated
10/13/2025
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