Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Diana Stephanie Lukaszka, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1477913531

Miss. Diana Stephanie Lukaszka, NURSEPRACTITIONER is a Nurse Practitioner in Long Beach, California. Qualified in 2014, 12 years ago. Practices with Active Life Wound Clinic a Professional Nursing Corporation, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone: (562) 933-0645
Fax: (562) 933-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95003039 (CA)

Record details

NPI number1477913531
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 2, 2016
Last updated in NPPESMarch 2, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Active Life Wound Clinic A Professional Nursing Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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