Individual
MEREDITH BURKE LUKASEVICS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 JOHN KNOX DR, COLFAX, NC 27235-9662
(336) 668-4900
Mailing address
1842 RIDGE CREEK DR, KERNERSVILLE, NC 27284-6959
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9043
NC
Other
Enumeration date
05/09/2016
Last updated
04/05/2022
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