Individual
LARISA ULVIJA LUKOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4921 E BELL RD STE 205, SCOTTSDALE, AZ 85254-6002
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
250875
AZ
363LA2200X
Adult Health Nurse Practitioner
SP017306
PA
363LG0600X
Gerontology Nurse Practitioner
SP017306
PA
363LP2300X
Primary Care Nurse Practitioner
SP017306
PA
Other
Enumeration date
03/07/2017
Last updated
11/05/2024
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