Healthcare Provider Details

I. General information

NPI: 1336022482
Provider Name (Legal Business Name): ALINA MONTIS LUKASZEWICZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 N MERIDIAN ST STE 101
INDIANAPOLIS IN
46260-1872
US

IV. Provider business mailing address

9333 N MERIDIAN ST STE 101
INDIANAPOLIS IN
46260-1872
US

V. Phone/Fax

Practice location:
  • Phone: 317-580-9333
  • Fax: 317-818-8933
Mailing address:
  • Phone: 317-580-9333
  • Fax: 317-818-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28239297A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: