Marija Kalas-Lukic, NP
Nurse Practitioner, Primary Care in Syracuse, NY. Individual provider (NPI-1).
NPI number1407613136
StatusActive
Last updated in NPPESFeb 29, 2024
Details
- NPI
- 1407613136
- Entity type
- Individual (NPI-1)
- Name
- Marija Kalas-Lukic
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2024
- Certification date
- Feb 28, 2024
- Last updated
- Feb 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | F353099 | NY | Yes |
| 363L00000X | Nurse Practitioner | F353099 | NY |
Practice location
725 E Adams St Ste 3aSyracuse, NY 13210-2576
Phone 315-464-6527 · Fax 315-464-6529
Mailing address
103 Claire RdSyracuse, NY 13214-1907
Phone 315-412-9510
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