Look up the most recent NPI and PECOS records

Henny Lukas

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

PECOS Enrollment

Based on the most recent information from CMS, provider Henny Lukas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1437201621
Provider Type
Individual
Full Name
Lukas, Henny
Title
Mrs.
Credential
CNP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/17/2007
Last Updated
6/27/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

(216) 315-9664

(402) 484-7474

Mailing Location

34960 Spatterdock Ln, Solon, OH 44139-5091

(216) 315-9664

(440) 248-4747

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License COA.08604 NP Ohio
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN.295710 COA2 Ohio
Code 364S00000X	Description Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers	License COA.08502 NS Ohio

Provider Identifiers

ID	Description	Issuer
ID 2661856	Description Medicaid	Issuer Unlisted Ohio

Henny Lukas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Luck, Jody

Capron, Scott A

Daiuto, Lauren

Tedford, Abby Gail

Flaherty, Skye

Soderstrom, Dawn E

Cox, Traci

Deegan, Kathleen A

Gutierrez, Lia Sloan

Ragsdale, Maria Cecilia