Individual
MR. DEJAN LUKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
203 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 271-1844
Mailing address
203 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 271-1844
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21836
SC
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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