Provider Demographics
NPI:1659631687
Name:LUKOVSKY, JULIA (RN-BC, ANP-BC, MSN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:LUKOVSKY
Suffix:
Gender:F
Credentials:RN-BC, ANP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 E 85TH ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-5438
Mailing Address - Country:US
Mailing Address - Phone:310-562-0191
Mailing Address - Fax:
Practice Address - Street 1:337 E 85TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-5438
Practice Address - Country:US
Practice Address - Phone:310-562-0191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30305862363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health