Individual provider · Type 1 NPI
Divyamol Lukose, CNP
Acute Care Nurse Practitioner · Worcester, MA
NPI number
1750096756
Active
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
3 Point Rd Unit 2
Shrewsbury, MA 01545-4590
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN2336104 (MA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1750096756
Divyamol Lukose, CNP's National Provider Identifier is 1750096756, issued on Jan 16, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Worcester, MA. The record was last updated on Jan 16, 2023.