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Individual

LUKRESIA B KAWIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
33 WOOD AVE S STE 600, ISELIN, NJ 08830-2717
(908) 565-1320
(732) 997-0709
Mailing address
33 WOOD AVE S STE 600, ISELIN, NJ 08830-2717
(908) 565-1320

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ01314900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NJ01314900
ADVANCED PRACTICE NURSE
NJ
Enumeration date
08/10/2022
Last updated
04/21/2025
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