Individual
MRS. ANGELA PATRICIA LUKOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
23133 ORCHARD LAKE RD, SUITE 100, FARMINGTON, MI 48336-3268
(248) 477-0100
(248) 477-6153
Mailing address
23133 ORCHARD LAKE RD, SUITE 100, FARMINGTON, MI 48336-3268
(248) 477-0100
(248) 477-6153
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704195194
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704195194
MI
Other
Enumeration date
09/27/2006
Last updated
09/10/2013
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