Individual provider · Type 1 NPI

Anissa Lukose

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1912840711 Active

Practice location

800 Spruce St
Philadelphia, PA 19107-6130

Call (862) 684-1044 Map

Mailing address

36 Patricia Dr
Flanders, NJ 07836-9234

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912840711

Anissa Lukose's National Provider Identifier is 1912840711, issued on Apr 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 14, 2026.