Individual
MRS. HENNY LUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(216) 315-9664
(402) 484-7474
Mailing address
34960 SPATTERDOCK LN, SOLON, OH 44139-5091
(216) 315-9664
(440) 248-4747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.295710 COA2
OH
363L00000X
Nurse Practitioner
Primary
COA.08604 NP
OH
364S00000X
Clinical Nurse Specialist
COA.08502 NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2661856
—
OH
Enumeration date
01/17/2007
Last updated
06/27/2020
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