Individual
LUCAS GRUWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
934 W HATCHER RD, PHOENIX, AZ 85021-3139
(602) 344-6340
(602) 344-6301
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP8264
AZ
363LF0000X
Family Nurse Practitioner
AP8264
AZ
Other
Enumeration date
10/28/2015
Last updated
02/09/2023
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