Healthcare Provider Details

I. General information

NPI: 1295640126
Provider Name (Legal Business Name): SCALA NATURAE INTEGRATIVE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10294 GOODVIEW CIR S
COTTAGE GROVE MN
55016-6069
US

IV. Provider business mailing address

10294 GOODVIEW CIR S
COTTAGE GROVE MN
55016-6069
US

V. Phone/Fax

Practice location:
  • Phone: 608-498-7626
  • Fax:
Mailing address:
  • Phone: 608-498-7626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YUVEN SABASTIAN LUKONG
Title or Position: OWNER/ADMINISTRATOR
Credential: LUKONG
Phone: 608-498-7626