Individual
HEATHER NICOLE LUKUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
685 MORRO AVE STE C, MORRO BAY, CA 93442-2233
(805) 772-7313
(805) 346-3625
Mailing address
685 MORRO AVE STE C, MORRO BAY, CA 93442-2233
(805) 772-7313
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95029301
CA
363LF0000X
Family Nurse Practitioner
26NJ00298400
NJ
Other
Enumeration date
07/27/2010
Last updated
05/10/2024
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