| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARYANN YUSKO LUKOWICH | 1538305545 | 2024-07-04 |
Maryann Yusko Lukowich [F] graduated in 2008 and primarily specializes in Nurse Practitioner.
Maryann Yusko Lukowich is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538305545. Registration indicates Maryann Yusko Lukowich is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 4587727482 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Maryann Yusko Lukowich CRNP |
| Practice Office Address | 104 E ADAMS ST COCHRANTON, PA US |
| Practice Office Telephone | 8144251897 |
| Practice Office Fax | 8144259973 |
| Mailing Address | 1034 GROVE ST MEADVILLE, PA 163352945 US |
| Business Telephone | 8144251897 |
| Business Fax | 8144259973 |
| Maryann Lukowich, CRNP Direct Address Allscripts Pro EHR [] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | SP010100
PA |
| SP010100 | OTHER | PA | STATE LICENSE |
| 0007230030001 | MEDICAID | PA |