Individual
CRYSTAL LUKOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12592 NW 53RD ST, CORAL SPRINGS, FL 33076-3419
(954) 439-6475
Mailing address
201 E SAMPLE RD, DEERFIELD BEACH, FL 33064-3502
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43185
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PS43185
FL
Other
Enumeration date
03/22/2025
Last updated
04/01/2026
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