NPI 1134825086
Jacob Lukose, RRT
Practice location
- Address
- 1670 Clairmont Rd, Decatur, GA 30033-4004
- Phone
- (404) 321-6111
Registered specialties
Registered Respiratory Therapist
Primary
Registry record
- NPI
- 1134825086
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Feb 2023
- Record last updated
- 2 Feb 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.