Individual
KATIE ANN LUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
831 PARKER ST, ALGOMA, WI 54201-0185
(920) 487-3676
(920) 487-3084
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163224-30
WI
363LF0000X
Family Nurse Practitioner
Primary
5932-33
WI
Other
Enumeration date
06/10/2014
Last updated
09/13/2019
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