Individual
MARY LUKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35477 KENAI SPUR HWY STE 203, SOLDOTNA, AK 99669-7644
(907) 486-2654
Mailing address
1126 MISSION RD, KODIAK, AK 99615-6540
(907) 486-2654
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/21/2016
Last updated
05/21/2016
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