Individual
MS. MESHA L LUKSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
TWO WEST 42ND STREET L SUITE 1200, REGIONAL WEST MEDICAL PLAZA NORTH, SCOTTSBLUFF, NE 69361
(308) 630-1478
Mailing address
TWO WEST 42ND STREET L SUITE 1200, REGIONAL WEST MEDICAL PLAZA NORTH, SCOTTSBLUFF, NE 69361
(308) 630-1478
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
54938
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38742
BCBS
NE
Enumeration date
11/18/2006
Last updated
03/01/2013
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