| A. Luke Lukens Lcsw Corporation | |
|
750 Longleaf Blvd Suite C Lawrenceville GA 30046-8459 | |
| (404) 242-4772 | |
| Not Available |
| Full Name | A. Luke Lukens Lcsw Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 Longleaf Blvd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Allen D Lukens (CLINICAL SOCIAL WORKER PRIVATE PRAC) |
| Authorized Official Contact | 4042424772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Luke Lukens Lcsw Corporation 750 Longleaf Blvd Suite C Lawrenceville GA 30046 Ph: (404) 242-4772 | A. Luke Lukens Lcsw Corporation 750 Longleaf Blvd Suite C Lawrenceville GA 30046-8459 Ph: (404) 242-4772 |
| NPI Number | 1346598174 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 08/28/2012 |
| Medicare PECOS PAC ID | 4880844489 |
|---|---|
| Medicare Enrollment ID | O20121017000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346598174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | CSW002534 (Georgia) | Primary |
| Provider Name | Allen D Lukens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649461898 PECOS PAC ID: 6406992478 Enrollment ID: I20091005000494 |
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