Individual
JASON LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3912 GEORGIA AVE NW, WASHINGTON, DC 20011-5861
(844) 796-2797
Mailing address
3856 BEECHER ST NW, WASHINGTON, DC 20007-1853
(404) 717-2730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN200004362
DC
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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