Individual
JAIMIE LUKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 10TH ST, SECAUCUS, NJ 07094-2921
(201) 863-3346
Mailing address
624 FERN ST, TOWNSHIP OF WASHINGTON, NJ 07676-4434
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00683200
NJ
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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