Individual
DEBRA J. LUKENBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7477
(701) 774-7479
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
(701) 857-3430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R25574
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0438074
—
MT
05
—
19683
—
ND
01
—
20673
BLUE SHIELD OF ND
ND
Enumeration date
07/26/2006
Last updated
12/28/2023
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