Jaren Steven Lukach, CNP
Nurse Practitioner, Family in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1164040804
StatusActive
Last updated in NPPESJul 9, 2020
Details
- NPI
- 1164040804
- Entity type
- Individual (NPI-1)
- Name
- Jaren Steven Lukach
- Credential
- CNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2020
- Certification date
- Jul 9, 2020
- Last updated
- Jul 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7538 | MN | Yes |
Practice location
251 County Road 120Saint Cloud, MN 56303-4872
Phone 320-529-4741
Mailing address
247 9 1/2 St NSauk Rapids, MN 56379-2225
Phone 320-237-5848
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