Individual
JENNA NICOLE LUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301117535
MI
208600000X
Surgery Physician
4301117535
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
4301117535
MI
Other
Enumeration date
04/18/2013
Last updated
04/14/2025
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