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Individual

DANIELLE NICOLE LUKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3567 RESERVE COMMONS DR, MEDINA, OH 44256-5323
(330) 536-3746
Mailing address
1362 W 59TH ST, CLEVELAND, OH 44102-2102
(440) 591-4937

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
476693
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0036677
OH

Other

Enumeration date
05/14/2024
Last updated
06/18/2024
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