Individual
SHANNON NOEL LUKEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-BC
Contact information
Practice address
2195 CHEAT RD, SUITE 2, MORGANTOWN, WV 26508-0022
(304) 594-0456
(304) 594-3249
Mailing address
2195 CHEAT RD, SUITE 2, MORGANTOWN, WV 26508-0022
(304) 594-0456
(304) 594-3249
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN85183-ANP-BC
WV
363LA2200X
Adult Health Nurse Practitioner
COA10804NP
OH
Other
Enumeration date
07/28/2009
Last updated
03/22/2015
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