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Individual

SAMANTHA LUSCZAKOSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4075 S STATE ROAD 7 STE H1, LAKE WORTH, FL 33449-8152
(561) 967-5761
(561) 967-5762
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(561) 967-5761
(561) 967-5762

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
4704308612
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11003396
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104457700
FL
Enumeration date
10/17/2018
Last updated
03/09/2021
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