Individual
CAROL ANNE LUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1333 W GRAND RIVER AVE, HOWELL, MI 48843-1980
(517) 548-1900
Mailing address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(248) 660-1220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704208250
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704208250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11904589
CAQH
—
05
—
1285821538
—
MI
Enumeration date
10/01/2007
Last updated
01/28/2025
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