Individual
GEORGE NEAL LUKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1040 WALTHAM ST, LEXINGTON, MA 02421-8033
(781) 862-3600
(781) 860-0589
Mailing address
200 HILLMONT AVE, VENTURA, CA 93003-1647
(805) 652-6729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95083829
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2276803
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000023532
BMC
MA
01
—
042611055
TAX ID
MA
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
05
—
1303287
—
MA
01
—
99618201
NETWORK HEALTH
MA
01
—
M18633
BCBS
MA
Enumeration date
06/06/2013
Last updated
08/28/2016
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