Individual
MRS. DIVYAMOL LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 441-6767
Mailing address
3 POINT RD UNIT 2, SHREWSBURY, MA 01545-4590
(508) 250-0060
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2336104
MA
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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