Individual
MRS. JAIMIE LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4222 N 12TH ST STE 200, PHOENIX, AZ 85014-6024
(602) 795-9223
(602) 795-9728
Mailing address
4222 N 12TH ST STE 200, PHOENIX, AZ 85014-6024
(027) 959-2236
(602) 795-9728
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
237099
AZ
Other
Enumeration date
12/15/2023
Last updated
01/25/2024
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