Provider Demographics
NPI:1568930303
Name:LUKASSEN, JULIANNE DANIELLE (RN)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:DANIELLE
Last Name:LUKASSEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:DANIELLE
Other - Last Name:MEISBURGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:901 S NADINE ST
Mailing Address - Street 2:
Mailing Address - City:KIMBALL
Mailing Address - State:NE
Mailing Address - Zip Code:69145-1632
Mailing Address - Country:US
Mailing Address - Phone:308-235-2188
Mailing Address - Fax:
Practice Address - Street 1:901 S NADINE ST
Practice Address - Street 2:
Practice Address - City:KIMBALL
Practice Address - State:NE
Practice Address - Zip Code:69145-1632
Practice Address - Country:US
Practice Address - Phone:308-235-2188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-09
Last Update Date:2018-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE75185163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool