Individual
DR. MARINA CAROLINE LUKAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 424-7711
Mailing address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
13602
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342527
AOA
PA
Enumeration date
05/17/2016
Last updated
11/14/2023
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