DIANE AMANDA LUKKAR


Address: 1600 Sutter Pl, Clovis, NM 88101-4611
Phone: 5757694490

DIANE AMANDA LUKKAR (NPI# 1801495577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801495577
Entity Type Individual
Full Name DIANE AMANDA LUKKAR
Credential RN
Practice Address 1600 Sutter Pl
Clovis
NM 88101-4611
Mailing Address Po Box 19000
Clovis
NM 88102-9000
Practice Telephone 5757694490
Practice Fax Number 5757694430
Mailing Telephone 5757694490
Mailing Fax Number 5757694430
Enumeration Date 2020-10-22
Last Update Date 2020-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
RN61123 NM Nursing Service Providers

Office Location

Street Address 1600 SUTTER PL
City CLOVIS
State NM
Zip Code 88101-4611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215032784 John Lester Collins Psychologist 1600 Sutter Pl, Clovis, NM 88101-4611 2006-09-13
1467051060 Audrey G Lietzke Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-23
1245839927 Ofelma Soto Navarro Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1992304679 Chelsey Lane Pena Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1255930939 Keitta Christine Torres Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1154928604 Angela N Lutz Psychologist 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-07
1366049470 Ashley N Curtis Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-02
1760099006 Rozalyn Nicole Cox Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2020-09-30
1730710468 Amy Laing Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-01-31
1619515996 Taylor Nicole Moore Social Worker 1600 Sutter Pl, Clovis, NM 88101-4611 2019-12-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134748692 Patrick James Scollon Military Health Care Provider 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 2020-04-14
1285274878 Keishla Cota Physical Therapist 100 East Manana Blvd, Unit 1, Clovis, NM 88101 2020-01-10
1659927283 Ndeye Ndour Nurse Anesthetist, Certified Registered 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 2019-08-09
1679132468 Justine Nicole Nunez Nurse Practitioner 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 2019-06-06
1518453521 Moore Psychological Services, Pllc Social Worker 1908 West 21st Street, Clovis, NM 88101 2018-07-03
1912494006 Raesha Russell Behavior Technician 214 West 9th St, Clovis, NM 88101 2018-04-16
1013425800 Vanessa Yardley Registered Nurse 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 2018-01-16
1699204230 Olivia Garcia Technician, Other 1100 W 21st Street, Clovis, NM 88101 2017-06-07
1578006250 Mary Ellen Gray Technician, Other 9408 B Vermont Court, Clovis, NM 88101 2016-11-29
1205296977 Malaney Harmon Behavioral Analyst 2700 E 7th St., Clovis, NM 88101 2016-02-24
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467051060 Audrey G Lietzke Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-23
1245839927 Ofelma Soto Navarro Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1992304679 Chelsey Lane Pena Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1255930939 Keitta Christine Torres Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2020-10-22
1851941264 Jennifer Nichole Dickerson Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2019-09-17
1407418973 Eveline Natalia Wedgeworth Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2019-07-03
1336622232 Jeannette Adriana Mitchell Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2018-09-07
1013490879 David Francis Sanchez Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2018-09-07
1003399866 Jennifer R Martin Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2018-09-07
1033692892 Larissa M Stieg Registered Nurse 1600 Sutter Pl, Clovis, NM 88101-4611 2018-09-07
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Competitor

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City CLOVIS
Zip Code 88101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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