Organization
MICHAEL DAVID LUKENS, PHD., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID LUKENS PH.D (PRESIDENT)
(561) 744-1169
Entity
Organization
Contact information
Practice address
169 TEQUESTA DR, SUITE 23E, TEQUESTA, FL 33469-2768
(561) 744-1169
Mailing address
169 TEQUESTA DR, SUITE 23E, TEQUESTA, FL 33469-2768
(561) 744-1169
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4410
FL
Other
Enumeration date
07/13/2009
Last updated
12/17/2009
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